JORDAN LANE FOUTCH MD
NPI 1053846352
Pediatrics in Charleston, SC
About Jordan Lane Foutch Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN LANE FOUTCH MD (NPI 1053846352) is an individual pediatrics provider in Charleston, South Carolina, licensed in South Carolina (84704) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chattanooga, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Lane Foutch Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan Foutch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Tennessee enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, SC 29425
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan Foutch's NPI number?
The NPI number for Jordan Foutch is 1053846352. It was assigned to this individual provider in the NPPES registry on April 24, 2017.
Where is Jordan Foutch located?
Jordan Foutch practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.
What is Jordan Foutch's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jordan Foutch enrolled in Medicare?
Yes. Jordan Foutch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jordan Foutch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Foutch reassigns Medicare benefits to 2 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC) and Southeastern Emergency Physicians Of Memphis LLC (Alton, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Foutch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Foutch accept?
Health plans from First Choice Next list Jordan Foutch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan Foutch was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan Lane Foutch, MD · NPI 1053846352
Pediatrics physician in Charleston, South Carolina. Individual provider, active in the CMS NPPES registry since April 24, 2017.
## Identity
- **NPI:** 1053846352 (Entity type: Individual)
- **Enumerated:** April 24, 2017
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 84704 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 ASHLEY AVE, Charleston, SC 29425-1405
- **Phone:** (843) 792-1414
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Medical Associates Of The Medical University Of South Carol (NPI 1013934629, Charleston, SC); Southeastern Emergency Physicians Of Memphis LLC (NPI 1437105277, Alton, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053846352) · Data from the CMS NPPES public registry.