CHARICE WILSON JORDAN PA-C
NPI 1205189859
Physician Assistant in Lithia Springs, GA

Active since October 19, 2012PECOS Enrolled
94.56/100
CMS Quality Rating
939 THORNTON RD, LITHIA SPRINGS, GA 30122(770) 948-5400 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charice Wilson Jordan Pa-c NPPES

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

CHARICE WILSON JORDAN PA-C (NPI 1205189859) is an individual physician assistant in Lithia Springs, Georgia, licensed in Georgia (6661) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205189859
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHARICE WILSON JORDANCredential: PA-C
Location Address939 THORNTON RDLithia Springs, GA 30122-2634
Mailing AddressPo Box 761Lithia Springs, GA 30122-0761 · (904) 566-8851
Sole ProprietorNo
Enumeration DateOctober 19, 2012
Last NPPES UpdateMay 29, 2026
NPPES CertifiedMay 29, 2026
NPI 1205189859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 6661
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.

939 THORNTON RD, Lithia Springs, GA 30122

Other Names 1

Former Name (1)Charice Wilson Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Charice Wilson Jordan Pa-c 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 30122 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

94.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.49
Promoting Interoperability100
Improvement Activities40
Cost75.54

Other Providers at the Same Location NPPES 7

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

Family Medicine
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Physical Therapist
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Physical Therapist
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Family Medicine
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Nurse Practitioner (Primary Care)
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Family Medicine
939 THORNTON RD
LITHIA SPRINGS, GA 30122
Internal Medicine
939 THORNTON RD
LITHIA SPRINGS, GA 30122

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 Charice Jordan's NPI number?

The NPI number for Charice Jordan is 1205189859. It was assigned to this individual provider in the NPPES registry on October 19, 2012. The provider is also known as Charice Wilson Pa-C.

Where is Charice Jordan located?

Charice Jordan practices at 939 Thornton Rd, Lithia Springs, GA 30122. The listed phone number is (770) 948-5400.

What is Charice Jordan's specialty?

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

Is Charice Jordan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Charice Jordan was last updated on May 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.