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DR. JORDAN RILEY DUNSON MD
NPI 1104568633
Student in an Organized Health Care Education/Training Program in Chattanooga, TN

Active since April 13, 2022PECOS Enrolled
975 E 3RD ST # 260, CHATTANOOGA, TN 37403(423) 778-9008(423) 778-9009 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jordan Riley Dunson Md NPPES

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

DR. JORDAN RILEY DUNSON MD (NPI 1104568633) is an individual student in an organized health care education/training program in Chattanooga, Tennessee and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104568633
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JORDAN RILEY DUNSONCredential: MD
Location Address975 E 3RD ST # 260Chattanooga, TN 37403-2173
Mailing Address975 E 3rd St # 260Chattanooga, TN 37403-2173 · (423) 778-9008 · Fax (423) 778-9009
Phone(423) 778-9008
Fax(423) 778-9009
Sole ProprietorNo
Enumeration DateApril 13, 2022
NPPES CertifiedApril 13, 2022
✔ NPI 1104568633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
975 E 3RD ST # 260, Chattanooga, TN 37403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Riley Dunson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

AUSTIN GRAY HUGHES
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 260
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9202
ROBERT PEYTON PARKER MD
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 260
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9202
AUSTIN G ALECXIH
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 260
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7695
CHRISTINA BAILEY KLOUDA
Student in an Organized Health Care Education/Training Program
975 E 3RD ST # 260
CHATTANOOGA, TN 37403
Hamilton County (423) 778-9007

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 Dunson's NPI number?

The NPI number for Jordan Dunson is 1104568633. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Jordan Dunson located?

Jordan Dunson practices at 975 E 3rd St # 260, Chattanooga, TN 37403. The listed phone number is (423) 778-9008.

What is Jordan Dunson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Dunson enrolled in Medicare?

Yes. Jordan Dunson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Dunson was last updated on April 13, 2022. 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.