KENNETH WAYNE JORDAN MD
NPI 1184628505
Pediatrics in Durham, NC

Q: What is Kenneth Jordan's NPI number?

The NPI number for Kenneth Jordan is 1184628505. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is Kenneth Jordan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jordan was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since June 13, 2005PECOS Enrolled

2100 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Wayne Jordan Md NPPES

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

KENNETH WAYNE JORDAN MD (NPI 1184628505) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (33260) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184628505

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameKENNETH WAYNE JORDANCredential: MD

Location Address2100 ERWIN RDDurham, NC 27705-3941

Mailing Address2100 Erwin RdDurham, NC 27705-3941 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateJune 13, 2005

Last NPPES UpdateSeptember 1, 2009

✔ NPI 1184628505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 33260

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2100 ERWIN RD, Durham, NC 27705

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Other Identifiers 3

MedicaidBJ1675531NC

Medicare UPINE39829

Medicaid8947445NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth Wayne Jordan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 20

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

DR. ERIN LIN MANNING MD

Anesthesiology