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

MS. Jessica Michelle Johnson, PA-C

Individual provider Physician Assistant · NPI 1760037733

MS. Jessica Michelle Johnson, PA-C is a Physician Assistant in Goose Creek, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2018, 8 years ago. Practices with Liberty Doctors LLC, a 45-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
8
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110A Springhall Dr
Goose Creek, SC 29445-5335
Phone: (843) 779-6444
Fax: (843) 990-5068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2079 Charlie Hall Blvd, Charleston, SC 29414-5834 — (843) 554-8488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3179 (SC)

Record details

NPI number1760037733
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2019
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Liberty Doctors Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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