Individual provider · Type 1 NPI

Jack Andrew Payne, PA-C

Physician Assistant · Summerville, SC

NPI number 1548021801 Active

Practice location

300 Callen Blvd Ste 330
Summerville, SC 29486-2816

Call (843) 763-2857 Map

Fax (843) 606-8053

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5179 (SC)

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 1548021801

Jack Andrew Payne, PA-C's National Provider Identifier is 1548021801, issued on Jan 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Summerville, SC. The record was last updated on Jan 13, 2026.