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

Jordan C Smith, PA

Individual provider Medical Physician Assistant · NPI 1962988410

Jordan C Smith, PA is a Medical Physician Assistant in Greenville, South Carolina. Works from 3 locations. Licensed in South Carolina and Tennessee.

Licensed in
SC, TN
In the registry since
2018
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

701 Grove Rd Fl 1
Greenville, SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 271 Medical Park Blvd, Bristol, TN 37620-7455 — (423) 844-4800
  • 2050 Meadowview Pkwy, Kingsport, TN 37660-7475 — (423) 230-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3880 (SC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3664 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3664 (TN)

Record details

NPI number1962988410
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESSeptember 3, 2021
Certification dateSeptember 3, 2021

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