Jordan Lane Foutch, MD
NPI 1053846352ActiveIndividual· Pediatrics· Charleston, SC
Pediatrics (MD) with Southeastern Emergency Physicians of Memphis LLC, practicing in Charleston, South Carolina. Enrolled in Medicare as practitioner - pediatric medicine and practitioner - pediatric medicine.
Overview
| NPI | 1053846352 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 24, 2017 |
| Last updated in NPPES | Nov 4, 2025 |
| Certified by provider | Nov 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 84704 | SC |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 66051 | TN |
| Pediatrics | 208000000X | 66051 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (SC); Practitioner - Pediatric Medicine (TN) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Pediatric Medicine |
Medical group
- Southeastern Emergency Physicians of Memphis LLCFarmington, MO · 94 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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