Individual provider · Type 1 NPI

Jacie Lyn Beach, PA-C

Physician Assistant · Charleston, SC

NPI number 1083393078 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-6604

Mailing address

2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801

Other practice locations

  • 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 · (843) 766-7103

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5373 (SC)
Physician Assistant 363A00000X5660 (TN)
Physician Assistant 363A00000X0010-13309 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1083393078

Jacie Lyn Beach, PA-C's National Provider Identifier is 1083393078, issued on Jul 17, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Aug 26, 2026.