DR. RENIE JORDON M. D.
NPI 1962451294
Internal Medicine in Mccomb, MS

Q: What is Renie Jordon's NPI number?

The NPI number for Renie Jordon is 1962451294. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Q: What is Renie Jordon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Renie Jordon was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment

1506 ASTON AVE, MCCOMB, MS 39648(601) 249-4415(601) 249-4474 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 11, 2025, Dec 14, 2021 (2 updates tracked since 2021).

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About Dr. Renie Jordon M. D. NPPES

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

DR. RENIE JORDON M. D. (NPI 1962451294) is an individual internal medicine provider in Mccomb, Mississippi, licensed in Mississippi (14640) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Southwest Ms Regional Medical Center, and maintains a secondary practice location in Mccomb.

NPPES Registry Identity

NPI1962451294

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. RENIE JORDONCredential: M. D.

Location Address1506 ASTON AVEMccomb, MS 39648-2735

Mailing AddressPo Box 490Mccomb, MS 39649-0490 · (601) 250-4366 · Fax (601) 250-4367

Phone(601) 249-4415

Fax(601) 249-4474

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateMay 5, 2006

Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2026

✔ NPI 1962451294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MS · 14640

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1506 ASTON AVE, Mccomb, MS 39648

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Secondary Practice Location 1

Location 1200 Marion AveMcComb, MS 39648-2706 · Phone (601) 250-4381 · Fax (601) 250-4367

Other Identifiers 1

Medicaid00116649MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Renie Jordon M. D. 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 ID9537137161

PECOS Enrollment IDI20040922000236

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.

Medicare Billing Reassignments

Medicare enrollment records show Renie Jordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Mississippi Regional Medical Center

Same address

Rural Health

1506 ASTON AVE
Mccomb, MS 39648

Reassigned Medicare billing, Mississippi enrollment
86 clinicians in this Medicare group

NPI 1962451831 (601) 249-4415

Keystone Medical Services Of Ms, Inc

43 mi

Emergency Medicine

233 MAGNOLIA ST
Hazlehurst, MS 39083

Reassigned Medicare billing, Mississippi enrollment
159 clinicians in this Medicare group

NPI 1174691059 (601) 894-4541

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

24 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

20 services19 patients

Hospital Affiliations CMS Care Compare

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

Southwest Ms Regional Medical Center

Acute Care Hospitals · Mccomb, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250097

Location215 Marion Av Box 1307Mccomb, MS 39649 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39648 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers69 claims165 services$5.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers40 claims59 services$0.98 avg. paid by Medicare

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

1 supplier11 claims130 services$4.93 avg. paid by Medicare

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$6.00 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier12 claims120 services$3.46 avg. paid by Medicare

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims361 services$5.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

JOHN BOURKE RAFF M.D.

Orthopaedic Surgery