JORDAN DUNAWAY
NPI 1164170262
Nurse Practitioner - Family in Mccomb, MS
About Jordan Dunaway NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN DUNAWAY (NPI 1164170262) is an individual family provider in Mccomb, Mississippi, licensed in Mississippi (DUNA-463PA3) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan Dunaway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jordan Dunaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mccomb, MS 39648
- Reassigned Medicare billing, Mississippi enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39648 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MCCOMB, MS 39648
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 Dunaway's NPI number?
The NPI number for Jordan Dunaway is 1164170262. It was assigned to this individual provider in the NPPES registry on March 17, 2022.
Where is Jordan Dunaway located?
Jordan Dunaway practices at 1038 Northwest Ave, Mccomb, MS 39648. The listed phone number is (601) 730-7012.
What is Jordan Dunaway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jordan Dunaway enrolled in Medicare?
Yes. Jordan Dunaway is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jordan Dunaway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Dunaway reassigns Medicare benefits to Maxem Health Urgent Care Mccomb (Mccomb, MS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Dunaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Dunaway accept?
Health plans from Blue Cross and Blue Shield of Alabama and Molina Healthcare list Jordan Dunaway 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.
When was this NPI record last updated?
The NPPES record for Jordan Dunaway was last updated on March 17, 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.
# Jordan Dunaway · NPI 1164170262
Family physician in Mccomb, Mississippi. Individual provider, active in the CMS NPPES registry since March 17, 2022.
## Identity
- **NPI:** 1164170262 (Entity type: Individual)
- **Enumerated:** March 17, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** DUNA-463PA3 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1038 NORTHWEST AVE, Mccomb, MS 39648-2116
- **Phone:** (601) 730-7012
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Maxem Health Urgent Care Mccomb (NPI 1235619479, Mccomb, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164170262) · Data from the CMS NPPES public registry.