Individual provider Active NPI

Meghan Skinner Jordan, M.D.

  • Pediatrics Physician
  • Florence, SC
National Provider Identifier
1194105031
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
38226 Issued in SC
Practice address
204 E Cheves St
Florence, SC 29506-2647
Phone
(843) 777-5065
Fax
(843) 777-7620
NPI assigned
Jun 5, 2015
Last updated
Feb 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 38226 SC Primary

Addresses

Primary practice location

204 E Cheves St
Florence, SC 29506-2647

Mailing address

204 E Cheves St
Florence, SC 29506-2647
Phone (843) 777-5065

Other practice location 1

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 2

3020 Reidville Rd Ste B
Spartanburg, SC 29301-5641
Phone (864) 272-0388

Other practice location 3

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 272-0388

Other practice location 4

211 Batesville Rd
Simpsonville, SC 29681-4816
Phone (864) 272-0388

Other practice location 5

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Other practice location 6

204 E Cheves St
Florence, SC 29506-2647
Phone (843) 777-5065

Other identifiers 1

IdentifierTypeStateIssuer
382268MedicaidSC

Other names 1

  • Meghan Skinner Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghan.jordan@mpaii.eclinicaldirectplus.com 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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191008003332 SC Practitioner - Pediatric Medicine 8628385598 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38226SCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II CurrentSince Sep 16, 2019 Accepting new patients
McLeod Physician Associates II Pediatrics Current Accepting new patients
McLeod Physician Associates II CurrentSince Sep 16, 2019 Accepting new patients
McLeod Physician Associates II Past Accepting new patients

Locations

204 E Cheves St
Florence, SC 29506
Phone (843) 777-5065

3013B W Palmetto St
Florence, SC 29501
Phone (843) 777-9340

506 E Cheves St
#202
Florence, SC 29506
Phone (843) 777-5091

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

Interoperability endpoints

  • Direct secure messaging: meghan.jordan@mpaii.eclinicaldirectplus.com
  • Direct secure messaging: mjordan17988@directmcleodehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1194105031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062647",
            "telephone_number": "843-777-5065",
            "fax_number": "843-777-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062647",
            "telephone_number": "843-777-5065",
            "fax_number": "843-777-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Verdae Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074021",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Reidville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015641",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Batesville Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296814816",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 E Cheves St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062647",
            "country_code": "US",
            "telephone_number": "843-777-5065",
            "fax_number": "843-777-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MEGHAN",
        "middle_name": "SKINNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "38226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382268",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghan.jordan@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "204 E Cheves St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295062647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "SKINNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.