MICHELE JORDAN MD PC
NPI 1710998901
Family Medicine in Trussville, AL
About Michele Jordan Md Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELE JORDAN MD PC (NPI 1710998901) is a healthcare organization registered as a family medicine in Trussville, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Michele Jordan, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michele Jordan Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Michele Jordan MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 01D0975438
Michele Jordan MD · Springville, ALFrequently 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 Michele Jordan MD PC's NPI number?
The NPI number for Michele Jordan MD PC is 1710998901. It was assigned to this organization in the NPPES registry on August 11, 2006.
Where is Michele Jordan MD PC located?
Michele Jordan MD PC is located at 145 N Chalkville Rd, Trussville, AL 35173. The listed phone number is (205) 661-3737.
What is Michele Jordan MD PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Michele Jordan MD PC enrolled in Medicare?
Yes. Michele Jordan MD PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Michele Jordan MD PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Michele Jordan MD PC, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Michele Jordan MD PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 01D0975438) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Michele Jordan MD PC was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Michele Jordan Md Pc · NPI 1710998901
Family Medicine organization in Trussville, Alabama. Organization record, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1710998901 (Entity type: Organization)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Michele Jordan, PHYSICIAN
## Practice location
- **Address:** 145 N CHALKVILLE RD, Trussville, AL 35173-1330
- **Phone:** (205) 661-3737
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2009
- **Other identifiers:** Medicaid 529916720 (AL); Medicare ID-Type Unspecified 000096984 (AL); Medicare UPIN F59442 (AL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1710998901) · Data from the CMS NPPES public registry.