Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARANDA JORDAN DO
NPI 1275228504
Anesthesiology - Critical Care Medicine in Charleston, SC

Active since April 11, 2023PECOS EnrolledAccepts Medicare Assignment
169 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-2300 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Apr 11, 2023 (2 updates tracked since 2023).

About Maranda Jordan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARANDA JORDAN DO (NPI 1275228504) is an individual critical care medicine provider in Charleston, South Carolina, licensed in South Carolina (97138) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Pomerene Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275228504
Entity TypeIndividualFemale
Primary Taxonomy207LC0200X
Provider Legal NameMARANDA JORDANCredential: DO
Location Address169 ASHLEY AVECharleston, SC 29425-0333
Mailing Address169 Ashley AveCharleston, SC 29425-0333
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 11, 2023
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1275228504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LC0200X
License Licensed in SC · 97138
Definition
An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
169 ASHLEY AVE, Charleston, SC 29425

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maranda Jordan Do 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.

PECOS PAC ID6709398670
PECOS Enrollment IDI20250625002907
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pomerene Hospital

Acute Care Hospitals · Millersburg, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360148
Location981 Wooster RoadMillersburg, OH 44654 · Holmes County
Emergency services Birthing friendly

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.

Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine
169 ASHLEY AVE
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 Maranda Jordan's NPI number?

The NPI number for Maranda Jordan is 1275228504. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Maranda Jordan located?

Maranda Jordan practices at 169 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-2300.

What is Maranda Jordan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Critical Care Medicine, with taxonomy code 207LC0200X.

Is Maranda Jordan enrolled in Medicare?

Yes. Maranda Jordan 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.

Is Maranda Jordan affiliated with any hospitals?

According to CMS data, Maranda Jordan is affiliated with Pomerene Hospital.

When was this NPI record last updated?

The NPPES record for Maranda Jordan was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.