Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nina Katherine Trent Jackson, PA-C

Individual provider Physician Assistant · NPI 1033428933

Nina Katherine Trent Jackson, PA-C is a Physician Assistant in Greenville, South Carolina. Qualified in 2010, 16 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations 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-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

209 Patewood Dr Ste 200
Greenville, SC 29615-3589
Phone: (864) 522-6630
Fax: (864) 522-6635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Doctors Dr, Greenville, SC 29605-4266 — (864) 572-7001

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1563 (SC)

Record details

NPI number1033428933
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2010
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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 Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville