Active NPI
Jordan R Barham, NP-C
- Adult Health Nurse Practitioner
- West Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 20424
- Practice address
- 146 E Hospital Dr Ste 120a
West Columbia, SC 29169 - Phone
- (803) 936-7076
- Fax
- (803) 936-7925
- NPI assigned
- Aug 22, 2016
- Last updated
- Oct 13, 2020
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 20424 | SC | Primary |
Addresses
Primary practice location
146 E Hospital Dr Ste 120a
West Columbia, SC 29169
Mailing address
PO Box 6069
West Columbia, SC 29171-6069
Other practice location 1
6 Richland Medical Park Dr Ste 2100
Columbia, SC 29203
Phone (803) 434-2762
Other practice location 2
8 Medical Park
Suite 400
Columbia, SC 29203
Phone (803) 765-0871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP5036 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbarham87101@direct.lexmed.com |
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20424 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411
6 Richland Medical Park Dr
Ste 2100
Columbia, SC 29203
Phone (803) 434-2660
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
146 E Hospital Dr
Ste 120A
West Columbia, SC 29169
Phone (803) 936-7076
146 E Hospital Dr
Ste 140
West Columbia, SC 29169
Phone (803) 936-7076
2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480
Interoperability endpoints
- jbarham87101@direct.lexmed.com
Organizations & group practices 5
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 Lexington Orthopaedic and Sports Medicine
- Sports Medicine (Orthopaedic Surgery) Physician
- West Columbia, SC
- NPI 1710634753
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
dba Lexington Neurology
- Neurological Surgery Physician
- West Columbia, SC
- NPI 1720685159
-
dba Lexington Internal Medicine
- Internal Medicine Physician
- West Columbia, SC
- NPI 1942190988
-
dba PH Dentistry
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1083169940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6069",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291716069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 E HOSPITAL DR STE 120A",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "29169",
"telephone_number": "803-936-7076",
"fax_number": "803-936-7925"
}
],
"practiceLocations": [
{
"address_1": "6 Richland Medical Park Dr Ste 2100",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-434-2762",
"fax_number": "803-434-2713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8 Medical Park",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "29203",
"country_code": "US",
"telephone_number": "803-765-0871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARHAM",
"first_name": "JORDAN",
"middle_name": "R",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "20424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP5036",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbarham87101@direct.lexmed.com",
"affiliation": "N",
"address_1": "146 E Hospital Dr Ste 120A",
"city": "West Columbia",
"state": "SC",
"country_code": "US",
"postal_code": "29169",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.