Individual provider Active NPI

Jordan Brooks Cuba

  • Family Nurse Practitioner
  • Aynor, SC
National Provider Identifier
1437023819
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31340 Issued in SC
Practice address
1213 Elm St
Aynor, SC 29511-3320
Phone
(843) 358-5806
NPI assigned
Sep 30, 2025
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NN3163MedicaidSC

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
I20260605001378 SC Practitioner - Nurse Practitioner 5092286500 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
263808SCMDRegistered 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.

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

Sources for this page

Verify at the official NPI Registry.