NPIMap

Individual provider Active NPI

Jordan Garvey Wood, PA

  • Physician Assistant
  • Spartanburg, SC
National Provider Identifier
1881233922
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3447 Issued in SC
Practice address
101 E Wood St Ste 401
Spartanburg, SC 29303-3040
Phone
(864) 560-6654
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3447 SC Primary

Addresses

Primary practice location

101 E Wood St Ste 401
Spartanburg, SC 29303-3040

Mailing address

PO Box 743070
Atlanta, GA 30374-3070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgarvey182018@direct-srhs.et0939.epichosted.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316002066 SC Practitioner - Physician Assistant 5294163788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians

Practice addresses (Care Compare)

389 Serpentine Dr
Spartanburg, SC 29303-3026
Phone (864) 560-6012

853 N Church St
Suite 410a
Spartanburg, SC 29303-3098
Phone (864) 560-6928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3447SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Pelham Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Pelham Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Spartanburg Medical Center CurrentSince Jan 27, 2020 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jul 2, 2023 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Jul 2, 2023 Accepting new patients
Spartanburg Medical Center Past Accepting new patients
Village Hospital Past Accepting new patients

Locations

212 Frontage Rd
Clemson, SC 29631
Phone (864) 654-0066

702 N A St
Easley, SC 29640
Phone (864) 859-4480

2 Innovation Dr
Ste 330
Greenville, SC 29607
Phone (864) 235-7665

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

2 Innovation Dr
Ste 400
Greenville, SC 29607
Phone (864) 235-7665

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

3970 Grandview Dr
Ste 2300
Simpsonville, SC 29680
Phone (864) 235-7665

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1881233922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WOOD ST STE 401",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JORDAN",
        "middle_name": "GARVEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgarvey182018@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "101 E Wood St Ste 401",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.