JORDAN TAYLOR MAHONEY PA-C
NPI 1871178749
Physician Assistant in Port St Lucie, FL

Active since March 12, 2021
100/100
CMS Quality Rating
1400 SE GOLDTREE DR STE 103, PORT ST LUCIE, FL 34952(772) 335-8446 Get Directions Write a Review

NPPES record last updated: December 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2021, Mar 12, 2021 (2 updates tracked since 2021).

About Jordan Taylor Mahoney Pa-c NPPES

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

JORDAN TAYLOR MAHONEY PA-C (NPI 1871178749) is an individual physician assistant in Port St Lucie, Florida, licensed in Florida (PA9113759) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1871178749
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN TAYLOR MAHONEYCredential: PA-C
Location Address1400 SE GOLDTREE DR STE 103Port St Lucie, FL 34952-7582
Mailing Address2486 Se Tiffany AvePort St Lucie, FL 34952-6560 · (816) 517-7495
Sole ProprietorNo
Enumeration DateMarch 12, 2021
Last NPPES UpdateDecember 7, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2021
NPI 1871178749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9113759
Definition
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.
1400 SE GOLDTREE DR STE 103, Port St Lucie, FL 34952

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Physician Assistant
1400 SE GOLDTREE DR STE 103
PORT SAINT LUCIE, FL 34952
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1400 SE GOLDTREE DR STE 103
PORT ST LUCIE, FL 34952
Surgery
1400 SE GOLDTREE DR STE 103
PORT ST LUCIE, FL 34952
Surgery
1400 SE GOLDTREE DR STE 103
PORT ST LUCIE, FL 34952
Surgery
1400 SE GOLDTREE DR STE 103
PORT ST LUCIE, FL 34952
Physician Assistant
1400 SE GOLDTREE DR STE 103
PORT SAINT LUCIE, FL 34952

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 Mahoney's NPI number?

The NPI number for Jordan Mahoney is 1871178749. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Jordan Mahoney located?

Jordan Mahoney practices at 1400 SE Goldtree Dr Ste 103, Port St Lucie, FL 34952. The listed phone number is (772) 335-8446.

What is Jordan Mahoney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jordan Mahoney was last updated on December 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.