JORDAN MOODY


Address: 811 Polo Rd Apt 616, Columbia, SC 29223-4445
Phone: 8035862132

JORDAN MOODY (NPI# 1629577549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629577549
Entity Type Individual
Full Name JORDAN MOODY
Practice Address 811 Polo Rd Apt 616
Columbia
SC 29223-4445
Practice Telephone 8035862132
Mailing Telephone 8035862132
Enumeration Date 2018-02-06
Last Update Date 2018-02-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083S0010X Preventive Medicine
Specialization: Sports Medicine
SC500634 SC Allopathic & Osteopathic Physicians

Other Providers JORDAN MOODY

NPI Name Taxonomy Address Enumeration
1063965937 Jordan Moody Counselor 70362 Kunze Ln, Boardman, OR 97818-8013 2016-07-27

Office Location

Street Address 811 POLO RD APT 616
City COLUMBIA
State SC
Zip Code 29223-4445

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NPI Name Taxonomy Address Enumeration
1619522794 Timothy Drew Edwards Dentist 122 N. Brickyard Rd, Columbia, SC 29223 2019-08-06
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1710481452 Evans Counseling and Consulting, LLC Social Worker 120 Wildewood Park Dr Ste A, Columbia, SC 29223 2018-03-19
1750824819 Marquita Heyward Counselor 1 Winsor Cove Suite 303, Columbia, SC 29223 2016-11-22
1578015509 Carolina Family Pharmacy, LLC Pharmacy 9153 Two Notch Road, Columbia, SC 29223 2016-10-25
1225485170 Lisa Diaz Occupational Therapy Assistant 7601 Parlane Rd, Columbia, SC 29223 2016-05-20
1295199859 Sarah Ann Riley Nurse Practitioner Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 2016-04-11
1134583214 Sara Alisha Pound Behavioral Analyst 97b Winterberry Ln, Columbia, SC 29223 2016-04-05
1508227653 Lucy Elvira Vicioso-harris Counselor 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 2016-03-17
1134585243 Robin Heaton Occupational Therapy Assistant 7601 Parklane Road, Columbia, SC 29223 2016-01-05
Find all providers in zip 29223

Taxonomy Information

Taxonomy Code 2083S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Sports Medicine

Taxonomy Definition

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972074839 Mindful Performance Center Limited Liability Company Preventive Medicine 6570 Dobbin Rd, Columbia, MD 21045-5855 2018-12-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639608292 Elizabeth Michelle Caldwell Preventive Medicine 151 Ribault St # 200, Spartanburg, SC 29302-2630 2017-06-07
1548451271 Ebm Health Strategies LLC Preventive Medicine 900 Island Park Dr, Suite 105, Daniel Island, SC 29492-7559 2007-08-07

Competitor

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City COLUMBIA
Zip Code 29223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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