Individual provider Active NPI

Jordyn Kachmar, PA

  • Surgical Physician Assistant
  • North Charleston, SC
National Provider Identifier
1013697127
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5078 Issued in SC
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

Updated by the provider on Feb 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240302000639 SC Practitioner - Physician Assistant 4587009360 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Roper Hospital Inc. CurrentSince Jun 1, 2024 Accepting new patients
Roper Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Mar 25, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.