JORDAN J MACKEY PA-C
NPI 1962103655
Physician Assistant - Surgical in St Petersburg, FL
About Jordan J Mackey Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN J MACKEY PA-C (NPI 1962103655) is an individual surgical provider in St Petersburg, Florida, licensed in Florida (PA9117014) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan J Mackey Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
ST PETERSBURG, FL 33701
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 Mackey's NPI number?
The NPI number for Jordan Mackey is 1962103655. It was assigned to this individual provider in the NPPES registry on March 10, 2023.
Where is Jordan Mackey located?
Jordan Mackey practices at 625 6th Ave S Ste 450, St Petersburg, FL 33701. The listed phone number is (727) 898-2663.
What is Jordan Mackey's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jordan Mackey enrolled in Medicare?
Yes. Jordan Mackey is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jordan Mackey was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jordan J Mackey, PA-C · NPI 1962103655
Surgical physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since March 10, 2023.
## Identity
- **NPI:** 1962103655 (Entity type: Individual)
- **Enumerated:** March 10, 2023
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA9117014 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 625 6TH AVE S STE 450, St Petersburg, FL 33701-4629
- **Phone:** (727) 898-2663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 22, 2025
- **Other identifiers:** Medicaid 124250300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1962103655) · Data from the CMS NPPES public registry.