Jordan Ronnie Lawson, PA-C is a medicare enrolled "Internal Medicine - Nephrology" in Spartanburg, South Carolina. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Foothills Nephrology Pc, Self Medical Group and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609557800.
Provider's Profile
| Full Name | Jordan Ronnie Lawson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 126 Dillon Dr., Spartanburg, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jordan Ronnie Lawson graduated from nursing school in 2023
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 |
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| 363A00000X | Physician Assistant | 5099 (South Carolina) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 5300PA (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Foothills Nephrology Pc | 0244122521 | 7 |
| Self Medical Group | 6002953916 | 363 |
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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