Active NPI
Jesse Paul Jorgensen, M.D.
- Interventional Cardiology Physician
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 30861
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308615 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080630000533 | SC | Practitioner - Interventional 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
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
- Prisma Health Greer Memorial Hospital
- Prisma Health Oconee Memorial Hospital
- Prisma Health Hillcrest Hospital
- Prisma Health Baptist Easley Hospital
- Prisma Health North Greenville Ltach
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 66 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054754 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Health System | Current | 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 | Current | 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
- 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.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
Internal Medicine, SC
-
- Health Educator
- Greenville, SC
- NPI 1114542081
-
- Diagnostic Radiology Physician
- Greenville, SC
- NPI 1568799955
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1730786096
-
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1881098945
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1225453269
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Specialist
- Greenville, SC
- NPI 1386696763
Hospital & facility affiliations 56
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medically Fragile Infants and Children Day Care
- Greenville, SC
- NPI 1093168064
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Greenville, SC
- NPI 1275086431
Hospital
-
- Developmental Disabilities Clinic/Center
- Greenville, SC
- NPI 1336695436
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.