Jessica Wheeley McCarry, PA-C
Physician Assistant, Surgical in St Petersburg, FL. Individual provider (NPI-1).
NPI number1124497334
StatusActive
Last updated in NPPESAug 25, 2016
Details
- NPI
- 1124497334
- Entity type
- Individual (NPI-1)
- Name
- Jessica Wheeley McCarry
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 17, 2015
- Last updated
- Aug 25, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA9109022 | FL | Yes |
| 363A00000X | Physician Assistant | PA9109022 | FL |
Practice location
1515 22nd Ave NSt Petersburg, FL 33704-3113
Phone 727-895-1515
Mailing address
502 S Fremont AveApt 818
Tampa, FL 33606-2068
Phone 727-410-9830
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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