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

Jordan Moody

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1629577549

Jordan Moody is a Sports Medicine (Preventive Medicine) Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.

Licensed in
SC
In the registry since
2018

Practice location Address checks out

811 Polo Rd Apt 616
Columbia, SC 29223-4445
Phone: (803) 586-2132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence SC500634 (SC)

Record details

NPI number1629577549
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2018
Last updated in NPPESFebruary 6, 2018