Grayson Jordan, | |
21 S Shirley Ave, Honea Path, SC 29654-1503 | |
(864) 512-7879 | |
(864) 512-7037 |
Full Name | Grayson Jordan |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 21 S Shirley Ave, Honea Path, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578913976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | LL39787 (South Carolina) | Secondary |
207Q00000X | Family Medicine | 39787 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Health Related Home Care | Abbeville, SC | Home health agency |
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Anmed Health | Anderson, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anmed Health | 1951215243 | 279 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478 |
Entity Name | Anmed Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885 |
Mailing Address | Practice Location Address |
---|---|
Grayson Jordan, Po Box 100174, Columbia, SC 29202-3174 Ph: (864) 512-7879 | Grayson Jordan, 21 S Shirley Ave, Honea Path, SC 29654-1503 Ph: (864) 512-7879 |
James Adam Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 S Shirley Ave, Honea Path, SC 29654 Phone: 864-512-7879 Fax: 864-512-7037 | |
Marion Kent Jenkins, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 21 S Shirley Ave, Honea Path, SC 29654 Phone: 864-369-0552 Fax: 864-369-1826 |