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MR. CHARLES EDWARD JORDAN III MD
NPI 1285682419
Specialist in Cookeville, TN

Active since May 04, 2006
100 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501(931) 528-1575(931) 526-2962 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Edward Jordan Iii Md NPPES

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

MR. CHARLES EDWARD JORDAN III MD (NPI 1285682419) is an individual specialist in Cookeville, Tennessee, licensed in Tennessee (08063) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1285682419
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. CHARLES EDWARD JORDAN IIICredential: MD
Location Address100 W 4TH ST, SUITE 200Cookeville, TN 38501-2448
Mailing Address100 W 4th St, Suite 200Cookeville, TN 38501-2448 · (931) 528-1575 · Fax (931) 526-2962
Phone(931) 528-1575
Fax(931) 526-2962
Sole ProprietorNo
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285682419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TN · 08063
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W 4TH ST, Cookeville, TN 38501
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Other Identifiers 3

Medicare ID-Type Unspecified3153286TN
Medicare UPINB02453TN
Medicaid3153288TN

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. ROBERT H LANDRY MD
Anesthesiology
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Putnam County (931) 528-7877
MR. LAWRENCE A EPPS CRNA
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Putnam County (931) 528-7877
MICHAEL BRANDON HARDISON CRNA
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Putnam County (931) 528-7877
DR. KYRILLOS GHATTAS MD
Family Medicine (Sleep Medicine)
100 W 4TH ST
COOKEVILLE, TN 38501
Putnam County (931) 783-2753
MR. MARK A THOMASON CRNA
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Putnam County (931) 528-7877
DR. JOHN BARRY AVERITT PH.D.
Psychologist (Counseling)
100 W 4TH ST, SUITE 300
COOKEVILLE, TN 38501
Putnam County (931) 526-2722
SCOTT H KEITH MD
Specialist
100 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Putnam County (931) 528-1575
FREDERICK BRONN RAYNE MD
Specialist
100 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Putnam County (931) 528-1575

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 Charles Jordan's NPI number?

The NPI number for Charles Jordan is 1285682419. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Charles Jordan located?

Charles Jordan practices at 100 W 4th St Suite 200, Cookeville, TN 38501. The listed phone number is (931) 528-1575.

What is Charles Jordan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.