Lee T Jordan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7281 Issued in SC

Practice address

1102 Roberts Street
Camden, SC 29020

Phone

(803) 254-3376

Fax

(803) 254-3883

NPI assigned

Dec 28, 2005

Last updated

Oct 19, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Dermatology Group LLCGroup PAC ID 0345343570, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kershawhealth Hospital, Camden, SC, CCN 420048

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• The Dermatology Group LLC

  • Dermatology Physician
  • Columbia, SC
  • NPI 1962454504
  Medicare reassignment Care Compare group NPD Authorized official
• CSC Acquisition, LLC

  dba Columbia Skin Clinic, LLC

  • Dermatology Physician
  • Camden, SC
  • NPI 1851338057
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University Hospital Authority

  dba MUSC Health Senior Retreat

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  dba MUSC Health Kershaw Medical Center

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1851378194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012641",
            "telephone_number": "803-254-3376",
            "fax_number": "803-254-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 ROBERTS STREET",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "29020",
            "telephone_number": "803-254-3376",
            "fax_number": "803-254-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LEE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "7281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Jones
• Mara Horton Jones, LPC
• Steven J Jones, RPH
• Walter Jerome Jones
• Elisabeth Montgomery Jordan, LPC
• Joseph Dental Associates,PA
• Joseph P Jackson Jr (Camden Orthopaedic Associates)
• Paul Thomas Joseph Jr., DMD
• Robert Michael Joseph, DMD
• Theresa Adry Joseph, DMD

• Dermatology Physician in Camden, SC
• Providers in Camden, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.

Verify at the official NPI Registry.