Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jordan Ronnie Lawson, PA-C

Individual provider Physician Assistant · NPI 1609557800

Jordan Ronnie Lawson, PA-C is a Physician Assistant in Spartanburg, South Carolina. Qualified in 2023, 3 years ago. Practices with Foothills Nephrology PC, a 7-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

126 Dillon Dr
Spartanburg, SC 29307-1018
Phone: (864) 327-1212
Fax: (864) 327-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 5300PA (SC)
Physician Assistant Taxonomy 363A00000X · Licence 5099 (SC)

Record details

NPI number1609557800
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESMarch 5, 2025
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Foothills Nephrology Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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