Active NPI
Jordan Brooks Cuba
- Family Nurse Practitioner
- Aynor, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31340
- Practice address
- 1213 Elm St
Aynor, SC 29511-3320 - Phone
- (843) 358-5806
- NPI assigned
- Sep 30, 2025
- Last updated
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 31340 | SC | Primary |
Addresses
Primary practice location
1213 Elm St
Aynor, SC 29511-3320
Mailing address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
51 11th Ave
Aynor, SC 29511-3249
Phone (843) 358-3700
Other practice location 2
124 Professional Park Dr, Ste A
Conway, SC 29526-9260
Phone (843) 234-8788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN3163 | Medicaid | SC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
300 Singleton Ridge Rd
Conway, SC 29526-9142
7319 Hwy 1124
Conway, SC 29526-2823
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 263808 | SC | MD | Registered Nurse |
Organizations & group practices 1
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.
-
dba Conway Medical Center
- General Acute Care Hospital
- Conway, SC
- NPI 1134172000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1437023819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 ELM ST",
"city": "AYNOR",
"state": "SC",
"postal_code": "295113320",
"telephone_number": "843-358-5806"
}
],
"practiceLocations": [
{
"address_1": "51 11th Ave",
"address_purpose": "LOCATION",
"city": "Aynor",
"state": "SC",
"postal_code": "295113249",
"country_code": "US",
"telephone_number": "843-358-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "124 Professional Park Dr, Ste A",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295269260",
"country_code": "US",
"telephone_number": "843-234-8788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUBA",
"first_name": "JORDAN",
"middle_name": "BROOKS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-30",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "31340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NN3163",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aynor, SC
- Conway Hospital Community Services (Conway Physicians Group)
- Conway Hospital Community Services (Aynor Family Medicine)
- Conway Hospital Community Services (Aynor Family Practice)
- Conway Hospital Community Services (CPG Family Medicine)
- Ashley Hucks Crago, FNP-C
- Doyle Nobles LLC (Fundamentals)
- Doyle Nobles LLC. (Fundamentals of Aynor)
- Eyes on Aynor LLC
- Fritz F Frye, PA-C
- Caroline Gardner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.