Individual provider Active NPI

Jesse Paul Jorgensen, M.D.

  • Interventional Cardiology Physician
  • Greenville, SC
National Provider Identifier
1154401206
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
30861 Issued in SC
Practice address
1005 Grove Rd
Greenville, SC 29605-4630
Phone
(864) 455-6900
Fax
(864) 255-5619
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054754 GA
Cardiovascular Disease Physician 207RC0000X 30861 SC
Interventional Cardiology Physician 207RI0011X 30861 SC Primary

Addresses

Primary practice location

1005 Grove Rd
Greenville, SC 29605-4630

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 797-6044

Other identifiers 1

IdentifierTypeStateIssuer
308615MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjorgensen5519@direct.ghs.myhfn.org Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000533 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8325110737 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical Group 2,467 clinicians

Practice addresses (Care Compare)

1 Doctors Dr
Suite 100
Greenville, SC 29605-4266
Phone (864) 522-5220

1005 Grove Rd
Greenville, SC 29605-4630
Phone (864) 455-6900

1025 Verdae Blvd
Greenville, SC 29607-4032

109 Fleetwood Dr
Easley, SC 29640-2019

175 Patewood Dr
Greenville, SC 29615-3570
Phone (864) 797-1403

200 Fleetwood Dr
Easley, SC 29640-2022
Phone (864) 442-7618

200 Patewood Dr
Suite B480
Greenville, SC 29615-6327
Phone (864) 454-4570

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

22725 Hwy 76 E
Clinton, SC 29325-7527
Phone (864) 833-4545

22725 US Hwy 76
Suite 3C
Clinton, SC 29325-7527
Phone (864) 833-3852

298 Memorial Dr
Seneca, SC 29672-9443
Phone (864) 455-2455

3 Butternut Dr
Suite B4
Greenville, SC 29605-4655
Phone (864) 455-6900

300 E McBee Ave
Greenville, SC 29601-2842
Phone (864) 797-6220

300 E McBee Ave FL
Suite 4
Greenville, SC 29601-2842

701 Grove Rd
Greenville, SC 29605-4210

717 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400

719 A SE Main St
Simpsonville, SC 29681-3237
Phone (864) 967-9000

719 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-5400

741 SE Main St
Simpsonville, SC 29681-3237
Phone (864) 522-8420

807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261

815 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9261

817 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 455-9790

830 S Buncombe Rd
Greer, SC 29650-2400
Phone (864) 455-2455

905 Verdae Blvd
Greenville, SC 29607-4098

Hospital & facility affiliations

  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078
  • Prisma Health Greer Memorial Hospital Hospital, Spartanburg, SC, CCN 420033
  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • Prisma Health Baptist Easley Hospital Hospital, Easley, SC, CCN 420015
  • Prisma Health North Greenville Ltach Long-term care hospital, Travelers Rest, SC, CCN 422008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting66
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054754GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Health System CurrentSince Jan 1, 2007 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Carolina Cardiology Consultants, P.a. Past Accepting new patients

Locations

100 Healthy Way
Ste 1250
Anderson, SC 29621
Phone (864) 224-2465

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604

877 W Faris Rd
Ste B
Greenville, SC 29605
Phone (864) 522-6225

100 Augusta St
Greenville, SC 29601
Phone (864) 455-2600

300 E McBee Ave
Greenville, SC 29601
Phone (803) 434-1335

3 Butternut Dr
Ste B4
Greenville, SC 29605

1005 Grove Rd
Greenville, SC 29605
Phone (864) 235-7665

877 W Faris Rd
Ste C
Greenville, SC 29605
Phone (864) 455-8147

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

315 Medical Pkwy
Ste 200
Greer, SC 29650
Phone (864) 797-9550

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: jjorgensen5519@direct.ghs.myhfn.org

Organizations & group practices 9

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 56

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

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1154401206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-797-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 GROVE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054630",
            "telephone_number": "864-455-6900",
            "fax_number": "864-255-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "JESSE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054754",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "30861",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "30861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308615",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjorgensen5519@direct.ghs.myhfn.org",
            "affiliation": "N",
            "endpointDescription": "jjorgensen5519@direct.ghs.myhfn.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jjorgensen5519@direct.ghs.myhfn.org",
            "address_1": "1005 Grove Rd",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.