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DR. CHUCKY SENTELL JORDAN D.C.
NPI 1841656527
Chiropractor in Lake City, SC

Active since January 11, 2016
263 KELLEY ST STE 100, LAKE CITY, SC 29560(843) 394-8274 Get Directions Write a Review

NPPES record last updated: January 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chucky Sentell Jordan D.c. NPPES

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

DR. CHUCKY SENTELL JORDAN D.C. (NPI 1841656527) is an individual chiropractor in Lake City, South Carolina, licensed in South Carolina (SC 4099) and active in the NPI registry since January 2016. He is a graduate of Logan College Of Chiropractic (2015).

NPPES Registry Identity

NPI1841656527
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHUCKY SENTELL JORDANCredential: D.C.
Location Address263 KELLEY ST STE 100Lake City, SC 29560-2472
Mailing Address542 Ben Gause RdCoward, SC 29530-5127 · (843) 940-0687
Phone(843) 394-8274
Sole ProprietorYes
Medical School CMSLogan College Of ChiropracticGraduated 2015
Enumeration DateJanuary 11, 2016
✔ NPI 1841656527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · SC 4099
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
263 KELLEY ST STE 100, Lake City, SC 29560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chucky Sentell Jordan D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688971658
PECOS Enrollment IDI20160318001683

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIME CARE OF THE LOWER PEE DEE, LLC
Clinic/Center (Multi-Specialty)
263 KELLEY ST STE 100
LAKE CITY, SC 29560
Florence County (843) 394-8274
DR. REGINEL SIMON DC
Chiropractor
263 KELLEY ST STE 100
LAKE CITY, SC 29560
Florence County (843) 394-8274

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 Chucky Jordan's NPI number?

The NPI number for Chucky Jordan is 1841656527. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Chucky Jordan located?

Chucky Jordan practices at 263 Kelley St Ste 100, Lake City, SC 29560. The listed phone number is (843) 394-8274.

What is Chucky Jordan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Chucky Jordan enrolled in Medicare?

Yes. Chucky Jordan is registered in the Medicare PECOS enrollment system.

What insurance does Chucky Jordan accept?

Health plans from First Choice Next list Chucky Jordan 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 Chucky Jordan was last updated on January 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.