Individual provider Active NPI

Jordan Alexis Deeb, PA-C

  • Physician Assistant
  • Murrells Inlet, SC
National Provider Identifier
1083477335
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5539 Issued in SC
Practice address
4040 Highway 17 Unit 105
Murrells Inlet, SC 29576-5098
Phone
(843) 652-8397
Fax
(843) 520-8781
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5539 SC Primary

Addresses

Primary practice location

4040 Highway 17 Unit 105
Murrells Inlet, SC 29576-5098

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 527-7000

Other practice location 1

2200 Crow Ln Ste 303B
Myrtle Beach, SC 29577-1663
Phone (843) 652-8390

Other practice location 2

4040 Highway 17 Unit 105
Murrells Inlet, SC 29576-5098
Phone (843) 652-8390

Other practice location 3

1014 Huger Dr
Georgetown, SC 29440-3322
Phone (843) 652-8390

Other practice location 4

1701 Waterway Dr
North Myrtle Beach, SC 29582-2592
Phone (843) 450-8725

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jdeeb430799@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jdeeb430799@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jdeeb430799@direct.musc.edu Direct Georgetown Physician Associates, LLC
Direct Messaging Address jdeeb430799@direct.musc.edu Direct Georgetown Physician Associates, LLC

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
I20241211002158 SC Practitioner - Physician Assistant 2365978541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2347 S Hwy 17
Murrells Inlet, SC 29576-7611
Phone (843) 357-2443

4040 Hwy 17
Murrells Inlet, SC 29576-5098

4320 Holmestown Rd
Myrtle Beach, SC 29588-7837
Phone (843) 652-8440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5539SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Physician Associates, LLC CurrentSince Jan 13, 2025 Accepting new patients
Georgetown Physician Associates LLC CurrentSince Jan 13, 2025 Accepting new patients
Georgetown Physician Services, LLC Past Accepting new patients

Locations

1014 Huger Dr
Georgetown, SC 29440
Phone (843) 652-8390

2347 S Highway 17
Murrells Inlet, SC 29576
Phone (843) 357-2443

4040 Highway 17
Unit 105
Murrells Inlet, SC 29576
Phone (843) 652-8390

4040 Highway 17
Unit 101
Murrells Inlt, SC 29576
Phone (843) 652-8160

2200 Crow Ln
Ste 303B
Myrtle Beach, SC 29577
Phone (843) 520-8780

12117 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 237-8231

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1083477335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HIGHWAY 17 UNIT 105",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765098",
            "telephone_number": "843-652-8397",
            "fax_number": "843-520-8781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Crow Ln Ste 303B",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295771663",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Highway 17 Unit 105",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295765098",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1014 Huger Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403322",
            "country_code": "US",
            "telephone_number": "843-652-8390",
            "fax_number": "843-652-8399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Waterway Dr",
            "address_purpose": "LOCATION",
            "city": "North Myrtle Beach",
            "state": "SC",
            "postal_code": "295822592",
            "country_code": "US",
            "telephone_number": "843-450-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEB",
        "first_name": "JORDAN",
        "middle_name": "ALEXIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeeb430799@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 105",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeeb430799@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1014 Huger Dr",
            "city": "Georgetown",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294403322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeeb430799@direct.musc.edu",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4040 Highway 17 Unit 105",
            "city": "Murrells Inlet",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295765098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdeeb430799@direct.musc.edu",
            "affiliation": "Y",
            "affiliationName": "Georgetown Physician Associates, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2200 Crow Ln Ste 303B",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295771663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.