DR. JORDAN G DECKER MD NPI 1417798489

NPI Information

  • NPI: 1417798489
  • Provider Name: DR. JORDAN G DECKER, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 96 JONATHAN LUCAS ST CSB 210, MSC 323
    CHARLESTON, SC
    ZIP 29425
  • Phone: (843) 792-1767

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NPI Details

DR. Jordan G Decker, MD is a diagnostic radiology radiology in Charleston, SC. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jordan G Decker, MD NPI is 1417798489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

96 JONATHAN LUCAS ST CSB 210, MSC 323
CHARLESTON, SC
ZIP 29425-001
Phone: (843) 792-1767

The NPI 1417798489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/4/2024 and was last updated on 6/9/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineLL92226SOUTH CAROLINANo
22085R0202XRadiologyDiagnostic RadiologyLL92226SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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