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

Q: 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.

Q: What is Carson Jordan's specialty?

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

Q: 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.

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: October 25, 2026.

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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

Phone(601) 928-9095

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Carson Jordan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile

Same address

Chiropractor

1725 CENTRAL AVE W
Wiggins, MS 39577

Reassigned Medicare billing, Mississippi enrollment

NPI 1932283546 (601) 928-9095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JORDAN CHIROPRACTIC, P.A.

Chiropractor

1725 CENTRAL AVE W
WIGGINS, MS 39577

Stone County (601) 928-9095

DR. STANLEY S. JORDAN D.C.

Chiropractor

1725 CENTRAL AVE W
WIGGINS, MS 39577

Stone County (601) 928-9095

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.

Which organization bills Medicare for Carson Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Jordan reassigns Medicare benefits to (Wiggins, MS). The 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 Carson Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carson Jordan accept?

Health plans from Cigna Healthcare and 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.