Philip Russell Jordan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3663 Issued in SC

Practice address

2741 Whiskey Rd
Aiken, SC 29803-6197

Phone

(803) 226-0217

Fax

(803) 226-0459

NPI assigned

Oct 3, 2011

Last updated

May 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aiken Physical Medicine and Rehabilitation LLCGroup PAC ID 2961642400, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aiken Physical Medicine and Rehabilitation LLC

  • Adult Medicine Physician
  • Aiken, SC
  • NPI 1912240383

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Carolina Wellness and Health, LLC

  • Chiropractor
  • Aiken, SC
  • NPI 1598035958
  Authorized official Same address or phone
• Healthfirst Advanced Medical LLC

  • General Practice Physician
  • Aiken, SC
  • NPI 1164002937
  NPD

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

• Aiken Regional Medical Centers LLC

  dba Wound Care Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1447437157
  Care Compare affiliation
• Aiken Regional Medical Centers LLC

  dba Aiken Regional Medical Center

  • General Acute Care Hospital
  • Aiken, SC
  • NPI 1467448498
  Care Compare affiliation
• Aiken Regional Medical Centers, LLC.

  dba Aiken Regional Medical Centers Neuro Physician Services

  • Neurological Surgery Physician
  • Aiken, SC
  • NPI 1942610928

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1366726861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036197",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036197",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "PHILIP",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-03",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Christine Jones
• Vickie Rae Jones
• Jordan Family Chiropractic
• Ava Justine Jordan
• Julie A Jordan, DC
• Susan Kleck Jordan, LPC
• Teneisha Shavaugh Jordan, MD
• Just Kids Therapy Services, Inc.
• Kimya Katrese Justice, RN
• Jwke Internal Medicine LLC

• Chiropractor in Aiken, SC
• Providers in Aiken, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.