Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Andrew Henderson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013200328

Jordan Andrew Henderson, DO is a Hematology/Oncology in Myrtle Beach, South Carolina. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2011, 15 years ago. Practices with Coastal Cancer Center LLC, a 22-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and South Carolina.

Years since qualifying
15
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MI, SC
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8121 Rourk St
Myrtle Beach, SC 29572
Phone: (843) 692-5000
Fax: (843) 692-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 817 Farrar Dr, Conway, SC 29526-8747 — (843) 234-1660
  • 3008 Bayboro St, Loris, SC 29569-2714 — (843) 756-0932
  • 4620 Highway 17, Murrells Inlet, SC 29576-5016 — (843) 357-7357

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 39910 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5101019226 (MI)

Record details

NPI number1013200328
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 18, 2011
Last updated in NPPESJune 22, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2011 (15 years in practice)
Group practice Coastal Cancer Center Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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