Active NPI
Jordyn Kachmar, PA
- Surgical Physician Assistant
- North Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5078
- Practice address
- 2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875 - Phone
- (843) 724-1950
- NPI assigned
- Jul 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 5078 | SC | Primary |
Addresses
Primary practice location
2575 Elms Center Rd Ste 200
North Charleston, SC 29406-9875
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800
2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426
2097 Henry Tecklenburg Dr
Charleston, SC 29414-5740
316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426
841 Robertson Blvd
Walterboro, SC 29488-3082
Phone (843) 724-1950
9165 University Blvd
North Charleston, SC 29406-7133
Phone (843) 720-8490
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roper Hospital Inc. | Current | Accepting new patients | |
| Roper Hospital, Inc | Current | Accepting new patients | |
| Roper St. Francis Specialty Physicians | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Current | Accepting new patients | |
| Roper Saint Francis Physicians Network | Past | Accepting new patients |
Locations
2097 Henry Tecklenburg Dr
Ste 305W
Charleston, SC 29414
Phone (843) 724-1950
2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555
2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747
9165 University Blvd
Ste 200
North Charleston, SC 29406
Phone (843) 724-1950
200 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 534-1770
416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411
841 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-1800
302 Medical Park Dr
Ste 207
Walterboro, SC 29488
Phone (803) 536-5511
Interoperability endpoints
- jkachmar2539722@direct.bsmhealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Roper St. Francis Physician Partners General Surgery
- Surgery Physician
- Charleston, SC
- NPI 1124431606
-
dba Roper St. Francis Physician Partners Bariatric Surgery
- Surgery Physician
- Ladson, SC
- NPI 1528945912
-
dba The Ryan White Wellness Center
- Infectious Disease Physician
- Charleston, SC
- NPI 1104150739
-
dba Vascular Medicine and Wound Management Clinic
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- N Charleston, SC
- NPI 1104563758
-
dba Roper Heart Center
- Cardiovascular Disease Physician
- Charleston, SC
- NPI 1508322959
-
dba Roper St. Francis Physician Partners OB/GYN
- Obstetrics & Gynecology Physician
- Summerville, SC
- NPI 1760976674
-
dba Roper St. Francis Physician Partners Charleston OB/GYN
- Obstetrics & Gynecology Physician
- Charleston, SC
- NPI 1811857352
-
dba Greer Transitions Clinic
- Internal Medicine Physician
- Charleston, SC
- NPI 1972933679
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Charleston, SC
- NPI 1851361778
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
dba Roper St. Francis Intensivist Services
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708214400000",
"number": "1013697127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751649",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751649",
"telephone_number": "843-789-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 ELMS CENTER RD STE 200",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069875",
"telephone_number": "843-724-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHMAR",
"first_name": "JORDYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2024-02-18",
"certification_date": "2024-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "SC",
"license": "5078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.