Individual ProviderJordan AtkinsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address674 W Liberty St, Sumter, SC 29150-4882(803) 773-5227PECOS EnrollmentBased on the most recent information from CMS, provider Jordan Atkinson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1346010881Provider TypeIndividualFull NameAtkinson, JordanGenderFemaleSole ProprietorNoEnumeration Date1/5/2024Last Updated1/5/2024Contact InformationPractice LocationPractice Address674 W Liberty St, Sumter, SC 29150-4882Phone(803) 773-5227FaxUnlisted FaxMailing LocationMailing Address674 W Liberty St, Sumter, SC 29150-4882PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense28244South Carolina