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JORDAN DANIEL CLEVENGER PA-C
NPI 1881417442
Physician Assistant in Gainesville, GA

Active since November 04, 2024PECOS EnrolledAccepts Medicare Assignment
6114 BLUEWATER BLVD, GAINESVILLE, GA 30506(770) 355-7034 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Daniel Clevenger Pa-c NPPES

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

JORDAN DANIEL CLEVENGER PA-C (NPI 1881417442) is an individual physician assistant in Gainesville, Georgia, licensed in Georgia (1206279) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881417442
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJORDAN DANIEL CLEVENGERCredential: PA-C
Location Address6114 BLUEWATER BLVDGainesville, GA 30506-2560
Mailing Address6114 Bluewater BlvdGainesville, GA 30506-2560
Phone(770) 355-7034
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 4, 2024
NPPES CertifiedNovember 3, 2024
✔ NPI 1881417442 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 GA · 1206279
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.
6114 BLUEWATER BLVD, Gainesville, GA 30506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Daniel Clevenger Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749719565
PECOS Enrollment IDI20250123002659
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Ngmc Barrow, LLC

Acute Care Hospitals · Winder, GA
OwnershipProprietary
CMS Certification Number110045
Location316 North Broad StreetWinder, GA 30680 · Barrow County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Clevenger's NPI number?

The NPI number for Jordan Clevenger is 1881417442. It was assigned to this individual provider in the NPPES registry on November 4, 2024.

Where is Jordan Clevenger located?

Jordan Clevenger practices at 6114 Bluewater Blvd, Gainesville, GA 30506. The listed phone number is (770) 355-7034.

What is Jordan Clevenger's specialty?

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

Is Jordan Clevenger enrolled in Medicare?

Yes. Jordan Clevenger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Clevenger affiliated with any hospitals?

According to CMS data, Jordan Clevenger is affiliated with Northeast Georgia Medical Center, Inc and Ngmc Barrow, LLC.

When was this NPI record last updated?

The NPPES record for Jordan Clevenger was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.