MR. JORDAN BLAKE ADAMS (NPI# 1881075570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881075570 |
| Entity Type | Individual |
| Full Name | MR. JORDAN BLAKE ADAMS |
| Credential | D.O. |
| Practice Address |
3611 Pelham Rd Greenville SC 29615-5002 |
| Mailing Address |
Po Box 743070 Atlanta GA 30374-3070 |
| Practice Telephone | 8645303500 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 52111 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 521117 | 05 | |
| SC | MEDICARE PIN | SCE235J577 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487197133 | Jordan Adams | Student in an Organized Health Care Education/Training Program | 1260 Channel Park Sw, Marietta, GA 30064-3823 | 2016-11-29 |
| 1174974901 | Jordan Adams | Massage Therapist | 601 E Alexander St Ste 625, Plant City, FL 33563-7126 | 2016-06-22 |
| 1912347535 | Jordan A Adams | Physical Therapist | 10020 Indiana Ave Ste 4, Riverside, CA 92503-5479 | 2013-06-27 |
| 1083741243 | Jordan B Adams | Pharmacist | 1745 W Broadway St, Idaho Falls, ID 83402-3045 | 2007-02-27 |
| 1912401464 | Jordan Adams | Counselor | 1009 N Georgetown St, Round Rock, TX 78664-3289 | 2018-03-20 |
| 1053812248 | Jordan Adams | Behavior Technician | 21505 N 78th Ave, Peoria, AZ 85382-3356 | 2018-02-23 |
| 1184131708 | Jordan Marie Adams | Chiropractor | 12740 Hillcrest Rd Ste 138, Dallas, TX 75230-2003 | 2018-01-04 |
| 1104365394 | Jordan Adams | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2017-02-21 |
| 1871039958 | Jordan Blake Adams | Behavioral Analyst | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2017-01-12 |
| Street Address |
3611 PELHAM RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013932359 | Richard W. Vail | Internal Medicine | 3611 Pelham Rd, Greenville, SC 29615-5002 | 2006-07-13 |
| 1861851446 | Spartanburg Medical Center | Nurse Practitioner | 3611 Pelham Rd, Greenville, SC 29615-5002 | 2016-02-11 |
| 1073741500 | Chad Anthony Leep | Family Medicine | 3611 Pelham Rd, Greenville, SC 29615-5002 | 2009-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1497373344 | Dhruval Patel | Family Medicine | 564 Cypress Ln Apt 11d, Greenville, MS 38701-7415 | 2020-07-08 |
| 1457983280 | Emmyget Family Medicine, Pa | Family Medicine | 3405 White Horse Rd Ste E, Greenville, SC 29611-5947 | 2020-02-10 |
| 1275184848 | Rmcca Clinic B, LLC | Family Medicine | 45 Medical Arts Ct Ste 3, Greenville, AL 36037-3872 | 2019-09-25 |
| 1558918342 | Lv Stabler Primary Care LLC | Family Medicine | 45 Medical Arts Ct Ste 2, Greenville, AL 36037-3872 | 2019-08-26 |
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1336618222 | Ashley Rushin | Family Medicine | 4400 Interstate Highway 30 W, Greenville, TX 75402-4615 | 2018-11-20 |
| 1003209636 | Billy Don Mitchell | Family Medicine | 3080 Cr 3115, Billy Don Mitchell M.d., Greenville, TX 75402 | 2015-03-06 |
| 1437597259 | Frank V Cioppettini | Family Medicine | 31 Memorial Medical Dr, Greenville, SC 29605-4407 | 2013-06-14 |
| 1679816706 | St. Francis Physician Services Inc | Family Medicine | 75 E. Mcbee Avenue, Greenville, SC 29601-2737 | 2013-03-27 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.