JORDAN PIERSON GARNER ROBERTS PA-C
NPI 1801263801
Physician Assistant in Chicago, IL

NPI Status: Active since August 25, 2015

Contact Information

800 W DIVERSEY PKWY # 200
CHICAGO, IL
ZIP 60614
Phone: (312) 796-7121

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  • Individual
  • Male
  • Physician Assistant
  • Medicare Quality Reporting

About JORDAN ROBERTS

This page provides the complete NPI Profile along with additional information for Jordan Roberts, a primary care provider established in Chicago, Illinois with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1801263801 assigned on August 2015. The practitioner's primary taxonomy code is 363A00000X with license number 085005576 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1801263801
Provider Name
JORDAN PIERSON GARNER ROBERTS PA-C
Other Name
JORDAN GARNER-ROBERTS
Other Name Type
Former Name (1)
Gender
Male
Entity Type
Individual
Location Address
800 W DIVERSEY PKWY # 200 CHICAGO, IL 60614
Location Phone
(312) 796-7121
Mailing Address
800 W DIVERSEY PKWY # 200 CHICAGO, IL 60614
Mailing Phone
(312) 796-7121
Is Sole Proprietor?
No
Enumeration Date
08-25-2015
Last Update Date
09-11-2023
Code Navigator

A primary care provider (PCP) like Jordan Roberts sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
085005576
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA10061 (TX)

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Colorectal Cancer Screening 74% 27
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Pneumococcal Vaccination Status for Older Adults 11% 45
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 7% 27
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1801263801, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 4 + 6 + 6 + 8 + 0 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1801263801.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
800 W DIVERSEY PKWY # 200
CHICAGO, IL 60614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801263801, enumerated as an "individual" on August 25, 2015.

The provider is located at 800 W DIVERSEY PKWY # 200 CHICAGO, IL 60614 and the phone number is (312) 796-7121.

Physician Assistant with taxonomy code 363A00000X.