MALLORY ODOM JORDAN FNP
NPI 1073285573
Nurse Practitioner - Family in Bay Springs, MS

Active since October 02, 2021PECOS EnrolledAccepts Medicare Assignment
27 S SIXTH ST, BAY SPRINGS, MS 39422(601) 764-2155 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Odom Jordan Fnp NPPES

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

MALLORY ODOM JORDAN FNP (NPI 1073285573) is an individual family provider in Bay Springs, Mississippi, licensed in Mississippi (904891) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Jasper General Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073285573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMALLORY ODOM JORDANCredential: FNP
Location Address27 S SIXTH STBay Springs, MS 39422-9052
Mailing Address27 S Sixth StBay Springs, MS 39422-9052
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 2, 2021
NPPES CertifiedOctober 2, 2021
NPI 1073285573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 904891
27 S SIXTH ST, Bay Springs, MS 39422

Accepted Insurance

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

Mallory Odom Jordan Fnp 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 ID9436547957
PECOS Enrollment IDI20211102001061
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 2

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

Jasper General Hospital

Acute Care Hospitals · Bay Springs, MS
OwnershipGovernment - Local
CMS Certification Number250018
Location15A South 6th StreetBay Springs, MS 39422 · Jasper County

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39422 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Family Medicine
27 S SIXTH ST
BAY SPRINGS, MS 39422
Clinic/Center (Rural Health)
27 S SIXTH ST
BAY SPRINGS, MS 39422
Family Medicine
27 S SIXTH ST
BAY SPRINGS, MS 39422
Nurse Practitioner (Family)
27 S SIXTH ST
BAY SPRINGS, MS 39422
Nurse Practitioner (Family)
27 S SIXTH ST
BAY SPRINGS, MS 39422
Family Medicine
27 S SIXTH ST
BAY SPRINGS, MS 39422

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 Mallory Jordan's NPI number?

The NPI number for Mallory Jordan is 1073285573. It was assigned to this individual provider in the NPPES registry on October 2, 2021.

Where is Mallory Jordan located?

Mallory Jordan practices at 27 S Sixth St, Bay Springs, MS 39422. The listed phone number is (601) 764-2155.

What is Mallory Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mallory Jordan enrolled in Medicare?

Yes. Mallory Jordan 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.

What insurance does Mallory Jordan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Mallory Jordan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mallory Jordan affiliated with any hospitals?

According to CMS data, Mallory Jordan is affiliated with Jasper General Hospital and South Central Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Mallory Jordan was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.