JORDAN MICHAEL WILLIAMS PA-C
NPI 1346754090
Physician Assistant - Surgical in Lubbock, TX

Active since November 16, 2017PECOS Enrolled
4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2025, Nov 16, 2017 (2 updates tracked since 2017).

About Jordan Michael Williams Pa-c NPPES

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

JORDAN MICHAEL WILLIAMS PA-C (NPI 1346754090) is an individual surgical provider in Lubbock, Texas, licensed in Texas (PA18970) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346754090
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJORDAN MICHAEL WILLIAMSCredential: PA-C
Location Address4110 22ND PLLubbock, TX 79410-1122
Mailing Address4110 22nd PlLubbock, TX 79410-1122 · (806) 792-4329
Sole ProprietorNo
Enumeration DateNovember 16, 2017
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1346754090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TX · PA18970
4110 22ND PL, Lubbock, TX 79410

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 (PECOS)

Jordan Michael Williams 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.

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.

Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4110 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner (Family)
4110 22ND PL
LUBBOCK, TX 79410
Nurse Practitioner
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410

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 Williams's NPI number?

The NPI number for Jordan Williams is 1346754090. It was assigned to this individual provider in the NPPES registry on November 16, 2017.

Where is Jordan Williams located?

Jordan Williams practices at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Jordan Williams's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jordan Williams enrolled in Medicare?

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

What insurance does Jordan Williams accept?

Health plans from Blue Cross and Blue Shield of Texas list Jordan Williams 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 Williams was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.