Individual provider Active NPI

Jordan Lee Cramer

  • Emergency Medicine Physician
  • Augusta, GA
National Provider Identifier
1235706524
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
12917 Issued in GA
Practice address
1120 15TH St
Augusta, GA 30912-0006
Phone
(706) 721-4467
Fax
(706) 727-9081
NPI assigned
Jun 7, 2021
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12917 GA Primary

Addresses

Primary practice location

1120 15TH St
Augusta, GA 30912-0006

Mailing address

7062 Kingsfisher Pass
Graniteville, SC 29829-3999
Phone (803) 417-2798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230703002473 SC Practitioner - Emergency Medicine 7810390101 Reassigns benefits to 2 organizations
I20240411000975 GA Practitioner - Emergency Medicine 7810390101 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
Sound Physicians Emergency Medicine of South Carolina LLCGroup PAC ID 2163702739, 48 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12917GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC Single Specialty CurrentSince May 1, 2025 Accepting new patients
Peach State Emergency Physicians LLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Southland Consolidated Emergency Services, LLC Single Specialty CurrentSince Mar 5, 2024 Accepting new patients
Southland Burke Emergency Medical Services, LLC Single Specialty CurrentSince Mar 5, 2024 Accepting new patients
Wellstar Medical Group, LLC Single Specialty CurrentSince Aug 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Single Specialty Current Accepting new patients
Lexington Health Inc Single Specialty Current Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Single Specialty CurrentSince Oct 14, 2023 Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2023 Accepting new patients
Lexington Health Inc CurrentSince Jul 1, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Single Specialty Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

160 Austin Graybill Rd
North Augusta, SC 29860
Phone (404) 500-8147

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1235706524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7062 KINGSFISHER PASS",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298293999",
            "telephone_number": "803-417-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120006",
            "telephone_number": "706-721-4467",
            "fax_number": "706-727-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "JORDAN",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "12917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.