Jordan Ronnie Lawson, PA-C is a medicare enrolled "Internal Medicine - Nephrology" in Spartanburg, South Carolina. His current practice location is
126 Dillon Dr., Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 327-1212.
Jordan Ronnie Lawson is licensed to practice in South Carolina (license number 5300PA) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609557800.
Provider's Profile
Full Name | Jordan Ronnie Lawson |
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Gender | Male |
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Speciality | Internal Medicine - Nephrology |
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Location | 126 Dillon Dr., Spartanburg, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609557800
- Provider Enumeration Date: 07/31/2023
- Last Update Date: 03/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173970530
- Enrollment ID: I20231107003993
Medical Identifiers
Medical identifiers for Jordan Ronnie Lawson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609557800 | NPI | - | NPPES |
6502PA | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5099 (South Carolina) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 5300PA (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 Ronnie Lawson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jordan Ronnie Lawson, PA-C 126 Dillon Dr., Spartanburg, SC 29307-1018 Ph: (864) 327-1212 | Jordan Ronnie Lawson, PA-C 126 Dillon Dr., Spartanburg, SC 29307-1018 Ph: (864) 327-1212 |
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