Jordan Bramlett
Individual provider Active NPI Surgical Physician Assistant · Florence, SC
NPI 1407620685 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1407620685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA5044 (SC)
- Practice address
- 101 William H Johnson St Ste 370
Florence, SC 29506-2769 - Phone
- (843) 777-7020
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Medical University of South Carolina College of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000
800 E Cheves St
Florence, SC 29506-2650
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240227004045 | SC | Practitioner - Physician Assistant | 2769827955 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA5044 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current |
Accepting new patients | |
| McLeod Physician Associates II | Past | Accepting new patients |
Locations
101 William H Johnson St
Ste 370
Florence, SC 29506
Phone (437) 777-0208
506 E Cheves St
#202
Florence, SC 29506
Interoperability endpoints
- jbramlett82470@directmcleodehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA5044 | SC | Yes |
Addresses
Primary practice location
101 William H Johnson St Ste 370
Florence, SC 29506-2769
Mailing address
111 Beth Dr
Darlington, SC 29540-7554
Phone (843) 858-1465
Other providers in Florence, SC
- Joseph Thomas Bradham III
- Robert Randy Bradley
- Kathy Anna Bradshaw
- Melissa Ann Brady
- Melanie Samples Bramblett
- Eulalee Brand
- Brantley M Adams PHD PA
- Montague D Brantley Jr.
- James E Braswell
- Rachel Bratcher
All providers in Florence, SC · Surgical Physician Assistant in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.