Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Gina Maggiano Fishburne, PA

Individual provider Physician Assistant · NPI 1497715742

MS. Gina Maggiano Fishburne, PA is a Physician Assistant in North Charleston, South Carolina. Graduated from Wake Forest University School of Medicine in 1999, 27 years ago. Practices with Bon Secours St Francis Xavier Hospital Inc, a 202-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
27
Trained at
Wake Forest University School of Medicine
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
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

2910 Tricom St
North Charleston, SC 29406-9350
Phone: (843) 572-9211
Fax: (843) 572-0457
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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 5544 (SC)
Physician Assistant Taxonomy 363A00000X · Licence NC 102864 (NC)

Record details

NPI number1497715742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2006
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Bon Secours St Francis Xavier Hospital Inc — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North Charleston