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JORDAN MOODY
NPI 1629577549
Preventive Medicine - Sports Medicine in Columbia, SC

Active since February 06, 2018
811 POLO RD APT 616, COLUMBIA, SC 29223(803) 586-2132 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jordan Moody NPPES

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

JORDAN MOODY (NPI 1629577549) is an individual sports medicine provider in Columbia, South Carolina, licensed in South Carolina (SC500634) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1629577549
Entity TypeIndividualMale
Primary Taxonomy2083S0010X
Provider Legal NameJORDAN MOODY
Location Address811 POLO RD APT 616Columbia, SC 29223-4445
Mailing Address811 Polo Rd Apt 616Columbia, SC 29223-4445 · (803) 586-2132
Phone(803) 586-2132
Sole ProprietorNo
Enumeration DateFebruary 6, 2018
✔ NPI 1629577549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in SC · SC500634
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
811 POLO RD APT 616, Columbia, SC 29223
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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 Moody's NPI number?

The NPI number for Jordan Moody is 1629577549. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Where is Jordan Moody located?

Jordan Moody practices at 811 Polo Rd Apt 616, Columbia, SC 29223. The listed phone number is (803) 586-2132.

What is Jordan Moody's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Jordan Moody was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.