JORDAN KUGLER GORANSON
NPI 1679101133
Emergency Medicine in Winston Salem, NC
About Jordan Kugler Goranson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN KUGLER GORANSON (NPI 1679101133) is an individual emergency medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2022-03329) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2020).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jordan Kugler Goranson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jordan Goranson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
King, NC 27021
- Reassigned Medicare billing, North Carolina enrollment
- 25 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDAtlantic General Hospital
Acute Care Hospitals · Berlin, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27157 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WINSTON-SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
WINSTON SALEM, NC 27157
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 Goranson's NPI number?
The NPI number for Jordan Goranson is 1679101133. It was assigned to this individual provider in the NPPES registry on March 31, 2020.
Where is Jordan Goranson located?
Jordan Goranson practices at Medical Center Boulevard, Winston Salem, NC 27157. The listed phone number is (336) 713-9100.
What is Jordan Goranson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jordan Goranson enrolled in Medicare?
Yes. Jordan Goranson 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.
Which organizations bill Medicare for Jordan Goranson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Goranson reassigns Medicare benefits to 3 organizations: Wake Forest University Health Sciences (Winston Salem, NC), Lifebrite Hospital Group Of Stokes, LLC (King, NC) and Tidalhealth Specialty Care, LLC (Salisbury, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jordan Goranson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jordan Goranson affiliated with any hospitals?
According to CMS data, Jordan Goranson is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.
When was this NPI record last updated?
The NPPES record for Jordan Goranson was last updated on February 28, 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.
# Jordan Kugler Goranson · NPI 1679101133
Emergency Medicine physician in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since March 31, 2020.
## Identity
- **NPI:** 1679101133 (Entity type: Individual)
- **Enumerated:** March 31, 2020
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2022-03329 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** MEDICAL CENTER BOULEVARD, Winston Salem, NC 27157-0001
- **Phone:** (336) 713-9100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC); Lifebrite Hospital Group Of Stokes, LLC (NPI 1649713462, King, NC); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers R W Johnson Medical School, class of 2020
## Record status
- **NPPES last updated:** February 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1679101133) · Data from the CMS NPPES public registry.