Jordan Moody, - Preventive Medicine in Columbia, SC

Jordan Moody, is a Preventive Medicine - Sports Medicine physician based in Columbia, South Carolina. Jordan Moody is licensed to practice in South Carolina (license number SC500634) and his current practice location is 811 Polo Rd Apt 616, Columbia, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 586-2132.

NPI number for Jordan Moody is 1629577549 and his current mailing address is 811 Polo Rd Apt 616, Columbia, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629577549.

Contact Information

Jordan Moody,
811 Polo Rd Apt 616,
Columbia, SC 29223-4445
(803) 586-2132
Not Available

Map and Direction




Physician's Profile

Full NameJordan Moody
GenderMale
SpecialityPreventive Medicine - Sports Medicine
Location811 Polo Rd Apt 616, Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629577549
  • Provider Enumeration Date: 02/06/2018
  • Last Update Date: 02/06/2018

Medical Identifiers

Medical identifiers for Jordan Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629577549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083S0010XPreventive Medicine - Sports Medicine SC500634 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Moody is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jordan Moody,
811 Polo Rd Apt 616,
Columbia, SC 29223-4445

Ph: (803) 586-2132
Jordan Moody,
811 Polo Rd Apt 616,
Columbia, SC 29223-4445

Ph: (803) 586-2132

Reviews and Comments


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