Active NPI
Alexis Jordan, PA-C
- Physician Assistant
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5921
- Practice address
- 100 N Sumter St Ste 202
Sumter, SC 29150-4975 - Phone
- (803) 774-9797
- NPI assigned
- Jul 22, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5921 | SC | Primary |
Addresses
Primary practice location
100 N Sumter St Ste 202
Sumter, SC 29150-4975
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 695-6697
Other practice location 1
8 Richland Medical Park Dr Ste 300
Columbia, SC 29203-8008
Phone (803) 256-6511
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Sumter St
Sumter, SC 29150-4975
129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680
8 Richland Medical Park Dr
Columbia, SC 29203-8008
Phone (803) 256-6511
Hospital & facility affiliations
- Prisma Health Tuomey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Current | Accepting new patients | |
| Prisma Health Medical Group-Midlands | Past | Accepting new patients |
Locations
2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930
8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203
8 Richland Medical Park Dr
Ste 300
Columbia, SC 29203
Phone (803) 254-5038
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
100 N Sumter St
Ste 202
Sumter, SC 29150
Phone (803) 774-9797
Interoperability endpoints
- afelty893033@direct.ghs.myhfn.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Columbia, SC
- NPI 1275988321
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbia, SC
- NPI 1417442864
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1881469856
-
- Interventional Cardiology Physician
- Columbia, SC
- NPI 1003307166
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sumter, SC
- NPI 1326043548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783814400000",
"number": "1932081023",
"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",
"telephone_number": "864-695-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N SUMTER ST STE 202",
"city": "SUMTER",
"state": "SC",
"postal_code": "291504975",
"telephone_number": "803-774-9797"
}
],
"practiceLocations": [
{
"address_1": "8 Richland Medical Park Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292038008",
"country_code": "US",
"telephone_number": "803-256-6511",
"fax_number": "803-376-5885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "ALEXIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-22",
"last_updated": "2026-07-12",
"certification_date": "2026-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "5921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2026; 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.