Jordan Caitlin Polk

NP | Nurse Practitioner - Psych/Mental Health | 8+ years Exp

4605 Monticello Rd Ste 1, Columbia
  South Carolina, 29203
803-714-0266
Accepts Medicare Nurse Anesthetist in Columbia, South Carolina.
Jordan Caitlin Polk is a Columbia, South Carolina based nurse practitioner with 8 years of experience in Psych/Mental Health. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jordan Caitlin Polk is 21658 for Psych/Mental Health in South Carolina. Her current practice location is 4605 Monticello Rd Ste 1, Columbia. Patients can reach her at 803-714-0266 or can fax her at 803-753-6333. Jordan Caitlin Polk is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1194222935.
Jordan Caitlin Polk provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Jordan Caitlin Polk speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Jordan Caitlin Polk
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Female
Credentials: NP
Experience: 8+ years
Medical School Attended:Other
Graduation Year:2017
Accepts Medicare Assignment:Yes
Practice Address:4605 Monticello Rd Ste 1, Columbia,
South Carolina, 29203
Phone:803-714-0266
Fax:803-753-6333
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0446515274
Enrollment ID: I20180529002190
NPI Number: 1194222935
NPI Enumeration Date: 09 Apr, 2018
NPI Last Update On: 21 Jun, 2018

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jordan Caitlin Polk are as mentioned below.
License NumberSpecializationStateStatus
21658Psych/Mental Health South CarolinaPrimary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Jordan Caitlin Polk is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Aiken Regional Medical Centers Llc (9739083312)30
Eau Claire Cooperative Health Center, Inc. (3274434220)36
Other Medical Identifiers:
Other legacy medical identifiers associated with Jordan Caitlin Polk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
NP5129MedicaidSouth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Jordan Caitlin Polk
Po Box 3788,
Columbia, South Carolina
Zip: 29230-3788
Phone Number: 803-733-5969
Fax Number: 803-753-5591
Patients can reach Jordan Caitlin Polk at 4605 Monticello Rd Ste 1, Columbia, South Carolina or can call to book an appointment on 803-714-0266.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.