Active NPI
Angela K Jordan, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN1997
- Practice address
- 7 Independence PT Ste 300
Greenville, SC 29615-4569 - Phone
- (864) 522-3700
- Fax
- (864) 522-3705
- NPI assigned
- Jun 9, 2006
- Last updated
- Feb 25, 2023
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN1997 | SC | Primary |
Addresses
Primary practice location
7 Independence PT Ste 300
Greenville, SC 29615-4569
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
701 Grove Rd
2nd Floor Anesthesia Dept.
Greenville, SC 29605-5611
Phone (864) 455-7111
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20031911 | Other | SC | SELECT HEALTH GROUP |
| 576007863BCBS | Other | SC | BCBS |
| AN1263 | Medicaid | SC | |
| 20031926 | Other | SC | INDIVIDUAL SELECT HEALTH |
| 576007863 | Other | SC | CIGNA |
| 576007863 | Other | SC | UHC |
| 576007863 | Other | SC | AETNA |
| 576007863 | Other | SC | BLUE CHOICE |
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
- Medical University of South Carolina College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-3076
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1997 | SC | MD | Physical Therapy Assistant |
| APRN1997 | SC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Anmed Health | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| St. Francis Hospital, Inc. | Current | Accepting new patients | |
| Greenville Health System | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health-Upstate | Current | Accepting new patients | |
| St Francis Hospital Inc | Current | Accepting new patients | |
| Anmed Health | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Prisma Health-Upstate | Current | Accepting new patients | |
| Pathology Associates of Greenville PA | Current | Accepting new patients | |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Greenville Hospital System | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Prisma Health-Upstate | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenville Hospital System | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients | |
| Greenvillehealth System | Past | Accepting new patients |
Locations
2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100
200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200
1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306
1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000
125 Commonwealth Dr
Greenville, SC 29615
Phone (864) 225-1800
175 Patewood Dr
Greenville, SC 29615
Phone (864) 797-1000
200 Patewood Dr
Bldg A
Greenville, SC 29615
Phone (864) 454-2604
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602
7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700
701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030
701 Grove Rd
Fl 2
Greenville, SC 29605
Phone (864) 455-7111
830 S Buncombe Rd
Greer, SC 29650
Phone (864) 797-8000
298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100
719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000
729 SE Main St
Simpsonville, SC 29681
Phone (864) 271-8647
1413 John B White SR Blvd
Ste D
Spartanburg, SC 29306
Phone (864) 587-5768
807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132
Organizations & group practices 25
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 AnMed
- Emergency Medicine Physician
- Anderson, SC
- NPI 1710918321
Nurse Anesthetist, Certified Registered
-
dba GHS Patewood Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1568532513
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
dba Prisma Health Greenville Memorial Hospital
- General Acute Care Hospital
- Greenville, SC
- NPI 1649726738
-
- General Acute Care Hospital
- Greenville, SC
- NPI 1558305995
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
dba AnMed
- Emergency Medicine Physician
- Anderson, SC
- NPI 1588685333
Nurse Anesthetist, Certified Registered
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
dba GHS Vascular Health Alliance
- General Acute Care Hospital
- Greenville, SC
- NPI 1184049041
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, SC
- NPI 1831151976
-
dba Parkside OB-GYN
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
dba GHS Pih Dba Umg GVL Anesthes
- Anesthesiology Physician
- Greenville, SC
- NPI 1528465374
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677283200000",
"number": "1629019997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 INDEPENDENCE PT STE 300",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154569",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705"
}
],
"practiceLocations": [
{
"address_1": "701 Grove Rd",
"address_2": "2nd Floor Anesthesia Dept.",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296055611",
"country_code": "US",
"telephone_number": "864-455-7111",
"fax_number": "864-455-6441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "ANGELA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2023-02-25",
"certification_date": "2023-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "APRN1997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH GROUP",
"identifier": "20031911",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "576007863BCBS",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN1263",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL SELECT HEALTH",
"identifier": "20031926",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "576007863",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "576007863",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "576007863",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "576007863",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.