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JORDAN NICHOLAS PEACOCK PHYSICIAN ASSISTANT
NPI 1033628326
Physician Assistant in Pensacola, FL

Active since September 29, 2017PECOS EnrolledAccepts Medicare Assignment
35.56/100
CMS Quality Rating
1110 AIRPORT BLVD, SUITE B, PENSACOLA, FL 32504(850) 438-1136 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2020, Mar 12, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Jordan Nicholas Peacock Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN NICHOLAS PEACOCK PHYSICIAN ASSISTANT (NPI 1033628326) is an individual physician assistant in Pensacola, Florida, licensed in Florida (PA9111816) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033628326
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN NICHOLAS PEACOCKCredential: PHYSICIAN ASSISTANT
Location Address1110 AIRPORT BLVD, SUITE BPensacola, FL 32504
Mailing Address1110 Airport Blvd, Suite BPensacola, FL 32504
Phone(850) 438-1136
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2017
Enumeration DateSeptember 29, 2017
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1033628326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in FL · PA9111816✔ Licensed in AL · PA-1279
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1110 AIRPORT BLVD, Pensacola, FL 32504
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13500 Creighton Rd Apt I3Pensacola, FL 32504-4631 · Phone (918) 351-3706
Location 23719 Dauphin StMobile, AL 36608-1753 · Phone (251) 460-5333

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Nicholas Peacock Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981954732
PECOS Enrollment IDI20190628002341
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

35.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.37
Improvement Activities0
Cost24.7

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COREY STONE D.O.
Physical Medicine & Rehabilitation
1110 AIRPORT BLVD, STE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
LAURA BELL APRN
Nurse Practitioner (Family)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Non-Pharmacy Dispensing Site
1110 AIRPORT BLVD, STE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DANIEL E ROSS D.O.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
AMANDA BEAR PA-C
Physician Assistant
1110 AIRPORT BLVD, STE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DAVID M BEAR D.O.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
EMERALD COAST CENTER FOR NEUROLOGICAL DISORDERS
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136
DR. HENRY OLIN PORTER III M.D.
Psychiatry & Neurology (Neurology)
1110 AIRPORT BLVD, SUITE B
PENSACOLA, FL 32504
Escambia County (850) 438-1136

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Peacock's NPI number?

The NPI number for Jordan Peacock is 1033628326. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Jordan Peacock located?

Jordan Peacock practices at 1110 Airport Blvd Suite B, Pensacola, FL 32504. The listed phone number is (850) 438-1136.

What is Jordan Peacock's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jordan Peacock enrolled in Medicare?

Yes. Jordan Peacock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Peacock affiliated with any hospitals?

According to CMS data, Jordan Peacock is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Peacock was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.