JORDAN TOMAS HOLMES DO
NPI 1639860463
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Q: What is Jordan Holmes's NPI number?

The NPI number for Jordan Holmes is 1639860463. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Jordan Holmes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Holmes was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 15, 2023PECOS Enrolled

590 MANNING DR, CHAPEL HILL, NC 27599(984) 974-4544(919) 966-6125 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jordan Tomas Holmes Do NPPES

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

JORDAN TOMAS HOLMES DO (NPI 1639860463) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (RTL23-0384) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639860463

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJORDAN TOMAS HOLMESCredential: DO

Location Address590 MANNING DRChapel Hill, NC 27599-6119

Mailing Address590 Manning DriveChapel Hill, NC 27599-7595 · (984) 974-4544

Phone(984) 974-4544

Fax(919) 966-6125

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateMay 19, 2023

NPPES CertifiedMay 19, 2023

✔ NPI 1639860463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NC · RTL23-0384

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

590 MANNING DR, Chapel Hill, NC 27599

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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 Tomas Holmes Do 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.

DR. DIREON LOWRY MD

Student in an Organized Health Care Education/Training Program

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-0210

DR. WILLIAM BENJAMIN SMITH MD

Student in an Organized Health Care Education/Training Program

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-0210

MR. ANDREW CARL BABCOCK M.D.

Family Medicine

590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599

Orange County (919) 966-0210

MARTIN MICHAEL GOREE MD

Student in an Organized Health Care Education/Training Program

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-0210

DR. ROBERT ROWE MD

Student in an Organized Health Care Education/Training Program

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-4881

DR. DEBORAH SHIPLEY PORTERFIELD

Preventive Medicine (Public Health & General Preventive Medicine)

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-5120

BLAKE ALEXANDER BARTON MD

General Practice

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-0210

MOLLY MILENE DUFFY MD

Family Medicine

590 MANNING DR
CHAPEL HILL, NC 27599

Orange County (984) 974-4544

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 Holmes's NPI number?

The NPI number for Jordan Holmes is 1639860463. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Jordan Holmes located?

Jordan Holmes practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (984) 974-4544.

What is Jordan Holmes's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Holmes enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Holmes was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.