JORDAN MOODY – NPI #1629577549
Preventive Medicine

A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.

Health Care Provider Taxonomy Code for Preventive Medicine

JORDAN MOODY is a physician located in COLUMBIA, SC. NPPES has assigned the NPI number 1629577549 to JORDAN MOODY on February 06, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083S0010X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORDAN MOODY below.

NPI Profile for
JORDAN MOODY

NPI Number
1629577549
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORDAN MOODY
Primary location
811 POLO RD APT 616
COLUMBIA, SC 29223-4445
Phone: (803) 586-2132 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083S0010X
- Preventive Medicine / Sports Medicine (Primary)		 SC SC500634

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.