Individual provider Active NPI

Jory Gibbons Croft, P.A.

  • Medical Physician Assistant
  • Aiken, SC
National Provider Identifier
1245570613
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1896 Issued in SC
Practice address
Aiken Specialty Services
209 Abbeville Ave NW
Aiken, SC 29801
Phone
(803) 306-1433
NPI assigned
Feb 22, 2013
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1896 SC Primary

Addresses

Primary practice location

Aiken Specialty Services
209 Abbeville Ave NW
Aiken, SC 29801

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other practice location 1

10706 Marlboro Ave
Barnwell, SC 29812-6376
Phone (803) 259-7337

Other identifiers 2

IdentifierTypeStateIssuer
1646PAMedicaidSC
1896OtherSCSC MEDICAL BOARD LICENSE NUMBER

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
I20140604000757 SC Practitioner - Physician Assistant 7315160702 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

209 Abbeville Ave NW
Aiken, SC 29801-3923
Phone (803) 259-5762

333 Revoluntionary Trail
Fairfax, SC 29827-7109

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc. CurrentSince Mar 9, 2014 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Dec 24, 2016 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 1, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 9, 2014 Accepting new patients
Low Country Health Care System, Inc CurrentSince Apr 1, 2020 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Mar 9, 2014 Accepting new patients

Locations

209 Abbeville Ave NW
Aiken, SC 29801
Phone (803) 306-1433

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

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

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1245570613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762",
            "fax_number": "803-259-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AIKEN SPECIALTY SERVICES",
            "address_2": "209 ABBEVILLE AVE NW",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-306-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10706 Marlboro Ave",
            "address_purpose": "LOCATION",
            "city": "Barnwell",
            "state": "SC",
            "postal_code": "298126376",
            "country_code": "US",
            "telephone_number": "803-259-7337",
            "fax_number": "803-259-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROFT",
        "first_name": "JORY",
        "middle_name": "GIBBONS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1646PA",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL BOARD LICENSE NUMBER",
            "identifier": "1896",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.