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

ALEXIS JORDAN PA-C
NPI 1932081023
Physician Assistant in Sumter, SC

Q: What is Alexis Jordan's NPI number?

The NPI number for Alexis Jordan is 1932081023. It was assigned to this individual provider in the NPPES registry on July 22, 2025.

Q: What is Alexis Jordan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexis Jordan was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.

Active since July 22, 2025PECOS EnrolledAccepts Medicare Assignment

100 N SUMTER ST STE 202, SUMTER, SC 29150(803) 774-9797 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2026, Dec 8, 2025 (2 updates tracked since 2025).

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About Alexis Jordan Pa-c NPPES

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

ALEXIS JORDAN PA-C (NPI 1932081023) is an individual physician assistant in Sumter, South Carolina, licensed in South Carolina (5921) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1932081023

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameALEXIS JORDANCredential: PA-C

Location Address100 N SUMTER ST STE 202Sumter, SC 29150-4975

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(803) 774-9797

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 22, 2025

Last NPPES UpdateJuly 12, 20262 updates tracked since enumeration

NPPES CertifiedJuly 12, 2026

✔ NPI 1932081023 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 · 5921

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.

100 N SUMTER ST STE 202, Sumter, SC 29150

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Secondary Practice Location 1

Location 18 Richland Medical Park Dr Ste 300Columbia, SC 29203-8008 · Phone (803) 256-6511 · Fax (803) 376-5885

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

Alexis Jordan Pa-c 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 ID5193221547

PECOS Enrollment IDI20251003001327

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

DR. VISHAL RIKY DHULIPALA M.D.

Internal Medicine (Interventional Cardiology)