Individual provider Active NPI

John Howard Nordeen, M.D.

  • Obstetrics & Gynecology Physician
  • Greenwood, SC
National Provider Identifier
1568403244
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19076 Issued in SC
Practice address
106 Liner Dr
Greenwood, SC 29646-2310
Phone
(864) 227-6371
Fax
(864) 227-6345
NPI assigned
Jun 10, 2006
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G59021 CA
Obstetrics & Gynecology Physician 207V00000X 19076 SC Primary

Addresses

Primary practice location

106 Liner Dr
Greenwood, SC 29646-2310

Mailing address

777 Lowndes Hill Rd BLDG 1
Greenville, SC 29607-2101
Phone (800) 967-2289

Other practice location 1

103 Carter Park Dr
Suite A
Seneca, SC 29678-1152
Phone (864) 482-2360

Other identifiers 4

IdentifierTypeStateIssuer
GP4697MedicaidSC
P00785496OtherCARAILROAD MEDICARE
SC23143365OtherSCMEDICARE PIN
00G590210MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnordeen113392@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060124000623 SC Practitioner - Obstetrics/Gynecology 7911921341 Reassigns benefits to 10 organizations
I20230127002859 NC Practitioner - Obstetrics/Gynecology 7911921341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 1, 2014 Accepting new patients
Elle OBGYN LLC Obstetrics & Gynecology CurrentSince Mar 14, 2018 Accepting new patients
Obhg North Carolina, P.C. Obstetrics & Gynecology CurrentSince Nov 17, 2022 Accepting new patients
Greenville Health System CurrentSince Mar 30, 2015 Accepting new patients
Self Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Self Regional Healthcare Obstetrics & Gynecology CurrentSince Sep 15, 2025 Accepting new patients
Self Regional Healthcare CurrentSince Sep 15, 2025 Accepting new patients
Prisma Health University Medical Group Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Self Regional Healthcare Current Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Oct 1, 2016 Accepting new patients
Greenville Health System Current Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2021 Accepting new patients
Self Medical Group CurrentSince Dec 4, 2023 Accepting new patients
Greenville Health System CurrentSince Mar 30, 2015 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Feb 1, 2024 Accepting new patients
McLeod Physician Associates II Obstetrics & Gynecology CurrentSince Dec 28, 2022 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
GHS Partners in Health, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2014 Accepting new patients
McLeod Physician Associates II CurrentSince Dec 28, 2022 Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations (25 of 30)

75 Remittance Dr
Dept 6764
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

2000 E Greenville St
Ste 2000
Anderson, SC 29621
Phone (864) 225-5131

1027 Physicians Dr
Ste 110
Charleston, SC 29414
Phone (843) 740-6700

1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

101 William H Johnson St
Ste 500
Florence, SC 29506
Phone (843) 777-7400

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

800 Pelham Rd
Ste 200
Greenville, SC 29615
Phone (864) 609-4009

106 Liner Dr
Greenwood, SC 29646
Phone (803) 227-6371

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

10 Centimeters Dr
Mauldin, SC 29662
Phone (800) 867-2289

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

103 Carter Park Dr
Ste A
Seneca, SC 29678
Phone (864) 482-2360

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jnordeen128812@selfregional.direct-ci.net
  • Direct secure messaging: jnordeen40506@directmcleodehealth.org

Organizations & group practices 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1568403244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 LOWNDES HILL RD BLDG 1",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072101",
            "telephone_number": "800-967-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LINER DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462310",
            "telephone_number": "864-227-6371",
            "fax_number": "864-227-6345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Carter Park Dr",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781152",
            "country_code": "US",
            "telephone_number": "864-482-2360",
            "fax_number": "864-482-2365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDEEN",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G59021",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "19076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4697",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00785496",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SC23143365",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G590210",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnordeen113392@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jnordeen113392@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.