MR. CHARLES RAYMOND JORDAN FNP
NPI 1306126263
Nurse Practitioner - Family in Grenada, MS

Active since August 24, 2011PECOS EnrolledAccepts Medicare Assignment
1350 SUNSET DR STE B, GRENADA, MS 38901(662) 466-3632 Get Directions Write a Review

NPPES record last updated: August 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Raymond Jordan Fnp NPPES

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

MR. CHARLES RAYMOND JORDAN FNP (NPI 1306126263) is an individual family provider in Grenada, Mississippi, licensed in Mississippi (R869908) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Greenwood Leflore Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1306126263
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. CHARLES RAYMOND JORDANCredential: FNP
Location Address1350 SUNSET DR STE BGrenada, MS 38901-4079
Mailing AddressPo Box 395N.carrollton, MS 38947-0395 · (662) 466-3632
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 24, 2011
NPI 1306126263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R869908
1350 SUNSET DR STE B, Grenada, MS 38901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Charles Raymond Jordan Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628235744
PECOS Enrollment IDI20120201000504, I20220722000686
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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
318 services55 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
285 services22 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
106 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
90 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
81 services40 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
58 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Greenwood Leflore Hospital

Acute Care Hospitals · Greenwood, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250099
Location1401 River RdGreenwood, MS 38930 · Leflore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38901 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 1306126263. It was assigned to this individual provider in the NPPES registry on August 24, 2011.

Where is Charles Jordan located?

Charles Jordan practices at 1350 Sunset Dr Ste B, Grenada, MS 38901. The listed phone number is (662) 466-3632.

What is Charles Jordan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Charles Jordan enrolled in Medicare?

Yes. Charles Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Jordan accept?

Health plans from Molina Healthcare and UnitedHealthcare list Charles Jordan 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.

Is Charles Jordan affiliated with any hospitals?

According to CMS data, Charles Jordan is affiliated with Greenwood Leflore Hospital.

When was this NPI record last updated?

The NPPES record for Charles Jordan was last updated on August 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.