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

Jordan Lane Foutch, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1053846352

Jordan Lane Foutch, MD is a Pediatric Medicine in Charleston, South Carolina. Qualified in 2017, 9 years ago. Practices with Southeastern Emergency Physicians of Memphis LLC, a 92-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina and Tennessee.

Years since qualifying
9
Licensed in
SC, TN
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-1405
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 910 Blackford St, Chattanooga, TN 37403-1405 — (423) 778-6101

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 84704 (SC)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 66051 (TN)
Pediatrics Physician Taxonomy 208000000X · Licence 66051 (TN)

Record details

NPI number1053846352
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2017
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southeastern Emergency Physicians Of Memphis Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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