Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jack B Sizemore, PA

Individual provider Physician Assistant · NPI 1255644126

Mr. Jack B Sizemore, PA is a Physician Assistant in Greenville, South Carolina. Qualified in 2010, 16 years ago. Practices with Bon Secours Medical Group Greenville Specialty Care LLC, a 289-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
16
Licensed in
SC
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

35 International Dr
Greenville, SC 29615-4816
Phone: (864) 234-7654
Fax: (864) 675-1657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1549 (SC)

Record details

NPI number1255644126
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 21, 2010
Last updated in NPPESJune 23, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bon Secours Medical Group Greenville Specialty Care Llc — 289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Greenville