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JESSICA SMITH WILLARD PA-C NPI 1710058342


NPI Information

NPI: 1710058342
Provider Name: JESSICA SMITH WILLARD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
102 GREGOR MENDEL CIR
GREENWOOD, SC
ZIP 29646
Phone: (864) 229-2663
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Jessica Smith Willard, PA-C is a surgical physician assistant in Greenwood, SC with 19 years of experience. Jessica Smith Willard, PA-C NPI is 1710058342. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2005

The provider's business location address is:

102 GREGOR MENDEL CIR
GREENWOOD, SC
ZIP 29646-315
Phone: (864) 229-2663
Fax: (864) 223-5694

The NPI 1710058342 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)
  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 12/14/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1082SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10687PAMEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.