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

Philip Alton Jordan

Individual provider Surgical Physician Assistant · NPI 1902523517

Philip Alton Jordan is a Physician Assistant in Greenville, South Carolina. Qualified in 2022, 4 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
4
Licensed in
SC
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

200 Patewood Dr Ste C100
Greenville, SC 29615-6322
Phone: (864) 454-7422
Fax: (864) 454-8265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 — (864) 229-2663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4651 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4651 (SC)

Record details

NPI number1902523517
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Greenville