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JORDAN LANE
NPI 1619224003
Physician Assistant in Charleston, SC

Active since August 06, 2012
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Lane NPPES

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

JORDAN LANE (NPI 1619224003) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (1798) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1619224003
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN LANE
Location Address171 ASHLEY AVECharleston, SC 29425-8908
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Phone(843) 792-1414
Sole ProprietorNo
Enumeration DateAugust 6, 2012
Last NPPES UpdateOctober 24, 2013
✔ NPI 1619224003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 1798
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
171 ASHLEY AVE, Charleston, SC 29425
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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.

CAROLYN REED WORD M.D.
Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHRISTOPHER ARNOLD HENSLEY CRNA
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
ANGELINA INDIRA PHILLIPS
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
BLAKE DANIEL FORCINA
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
CHELSEA LEE CRUISE SW
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
DR. RICHARD HAYDEN JONES MD
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
LINDSEY HENDRICKSON NP
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
MICHAEL DAMASO DE GUZMAN
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414

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 Lane's NPI number?

The NPI number for Jordan Lane is 1619224003. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Jordan Lane located?

Jordan Lane practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Jordan Lane's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Lane was last updated on October 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.