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SAMUEL JORDAN
NPI 1447788716
Physician Assistant in Lexington, NC

Active since May 31, 2017PECOS EnrolledAccepts Medicare Assignment
250 HOSPITAL DR, LEXINGTON, NC 27292(336) 248-5161 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, May 31, 2017 (2 updates tracked since 2017).

About Samuel Jordan NPPES

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

SAMUEL JORDAN (NPI 1447788716) is an individual physician assistant in Lexington, North Carolina and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with North Carolina Baptist Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1447788716
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL JORDAN
Location Address250 HOSPITAL DRLexington, NC 27292-6792
Mailing Address155 Rosedale CirWinston Salem, NC 27106-4637
Phone(336) 248-5161
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1447788716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
250 HOSPITAL DR, Lexington, NC 27292
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Secondary Practice Location 1

Location 1250 Hospital DrLexington, NC 27292-6792 · Phone (336) 248-5161

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Samuel Jordan 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 ID2860764743
PECOS Enrollment IDI20170828002771
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
142 services140 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
58 services54 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Lexington Memorial Hospital Inc

Acute Care Hospitals · Lexington, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340096
Location250 Hospital Drive PO Box 1817Lexington, NC 27293 · Davidson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27292 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

MRS. NAZRA NUHMAN NP
Nurse Practitioner
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 248-5161
MS. RENEE LIZETTE LEWIS-KENSAH MD
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 716-2255
PETER C MESSICK MD
Emergency Medicine
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 716-2255
DR. JOSHUA STEPHENS CAMPBELL M.D.
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 248-5161
DEVAM PARESHKUMAR SHETH M.D.
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 248-5161
KAITLIN SAMANTHA JENKINS PA
Physician Assistant
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 248-5161
ACHINT DINDAYAL PATEL MD
Hospitalist
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 716-2255
MATTHEW RIESTER
Emergency Medicine
250 HOSPITAL DR
LEXINGTON, NC 27292
Davidson County (336) 716-2255

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 Samuel Jordan's NPI number?

The NPI number for Samuel Jordan is 1447788716. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Samuel Jordan located?

Samuel Jordan practices at 250 Hospital Dr, Lexington, NC 27292. The listed phone number is (336) 248-5161.

What is Samuel Jordan's specialty?

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

Is Samuel Jordan enrolled in Medicare?

Yes. Samuel 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 Samuel Jordan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 2 other insurers list Samuel 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 Samuel Jordan affiliated with any hospitals?

According to CMS data, Samuel Jordan is affiliated with North Carolina Baptist Hospital and Lexington Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Samuel Jordan was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.