Active NPI
Jordan Hairr
- Physician Assistant
- Spartanburg, SC
National Provider Identifier
1871995852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MPA.2192 TL
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (864) 560-6000
- NPI assigned
- Sep 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MPA.2192 TL | SC | Primary |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
101 E Wood St
Spartanburg, SC 29303-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1997PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2192 | SC | MD | Athletic Trainer |
| MPA.2192 TL | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1871995852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRR",
"first_name": "JORDAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-22",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "MPA.2192 TL",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1997PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.