Jordan Owen Goodwin
Jordan Owen Goodwin is a Physician Assistant in Greenville, South Carolina. Qualified in 2019, 7 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 7
- Licensed in
- SC
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
Greenville, SCNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 8645 Summit Peak Way Apt 402, Ooltewah, TN 37363-3149 — (864) 363-3414
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4843 (SC) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1649818998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2019 |
| Last updated in NPPES | May 17, 2023 |
| Certification date | May 17, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Prisma Health University Medical Group — 2446 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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