DR. CARSON SAMUEL JORDAN I DC
NPI 1831942416
Chiropractor in Wiggins, MS

Active since April 11, 2024
1725 CENTRAL AVE W, WIGGINS, MS 39577(601) 928-9095(601) 928-9383 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carson Samuel Jordan I Dc NPPES

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

DR. CARSON SAMUEL JORDAN I DC (NPI 1831942416) is an individual chiropractor in Wiggins, Mississippi, licensed in Mississippi (1394) and active in the NPI registry since April 2024. He is a graduate of Life Chiropractic College (2024).

NPPES Registry Identity

NPI1831942416
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CARSON SAMUEL JORDAN ICredential: DC
Location Address1725 CENTRAL AVE WWiggins, MS 39577-2434
Mailing Address1725 Central Ave WWiggins, MS 39577-2434 · (601) 928-9095 · Fax (601) 928-9383
Fax(601) 928-9383
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2024
Enumeration DateApril 11, 2024
NPPES CertifiedApril 11, 2024
NPI 1831942416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MS · 1394
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1725 CENTRAL AVE W, Wiggins, MS 39577

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carson Samuel Jordan I Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507207016
PECOS Enrollment IDI20240515002459

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1725 CENTRAL AVE W
WIGGINS, MS 39577
Chiropractor
1725 CENTRAL AVE W
WIGGINS, MS 39577

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 Carson Jordan's NPI number?

The NPI number for Carson Jordan is 1831942416. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Carson Jordan located?

Carson Jordan practices at 1725 Central Ave W, Wiggins, MS 39577. The listed phone number is (601) 928-9095.

What is Carson Jordan's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Carson Jordan enrolled in Medicare?

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

What insurance does Carson Jordan accept?

Health plans from Providence Health Plan list Carson 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.

When was this NPI record last updated?

The NPPES record for Carson Jordan was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.