Active NPI
Jordan Andrew Coleman, CRNA
- Certified Registered Nurse Anesthetist
- Lexington, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 21973
- Practice address
- 130 May Morning Dr
Lexington, SC 29073-9440 - Phone
- (803) 608-8034
- NPI assigned
- Mar 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 217780 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 1477056281 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 21973 | SC | Primary |
Addresses
Primary practice location
130 May Morning Dr
Lexington, SC 29073-9440
Mailing address
130 May Morning Dr
Lexington, SC 29073-9440
Phone (803) 608-8034
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN2775 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505-6047
Hospital & facility affiliations
- Musc Health Florence Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217780 | SC | MD | Registered Nurse |
| 1477056281 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Beach Anesthesia, LLC | Current | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
423 Barony St
Moncks Corner, SC 29461
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1215061429
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681948800000",
"number": "1477056281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MAY MORNING DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739440",
"telephone_number": "803-608-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAY MORNING DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290739440",
"telephone_number": "803-608-8034"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "JORDAN",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-18",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "217780",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "1477056281",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "21973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN2775",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.