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JORDAN SYDNEY PHILLIPPS MD
NPI 1992555858
Dermatology in Jacksonville, FL

Active since March 25, 2024PECOS EnrolledAccepts Medicare Assignment
4500 SAN PABLO RD, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2025, Jul 30, 2024, Apr 18, 2024 (3 updates tracked since 2024).

About Jordan Sydney Phillipps Md NPPES

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

JORDAN SYDNEY PHILLIPPS MD (NPI 1992555858) is an individual dermatology provider in Jacksonville, Florida, licensed in Florida (ME176682) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and is a graduate of Washington University School Of Medicine (2024).

NPPES Registry Identity

NPI1992555858
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameJORDAN SYDNEY PHILLIPPSCredential: MD
Location Address4500 SAN PABLO RDJacksonville, FL 32224
Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000
Phone(904) 953-2000
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2024
Enumeration DateMarch 25, 2024
Last NPPES UpdateSeptember 9, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1992555858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME176682
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Jordan Sydney Phillipps Md 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 ID7810434735
PECOS Enrollment IDI20251208000966
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 Reassignment

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

Mayo Clinic Jacksonville
Health Service
4500 SAN PABLO RD S
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 1,828 clinicians in this Medicare group
NPI 1174143986 (904) 953-2000

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

Hospital Affiliations CMS Care Compare

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

Mayo Clinic

Acute Care Hospitals · Jacksonville, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100151
Location4500 San Pablo RdJacksonville, FL 32224 · Duval County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

DR. ANDREA V RIVERO DO
Anesthesiology
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
AARON ANDREW CAPERA PT
Physical Therapist
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
SAMANTHA LEE D'AMICO DO
Radiology (Diagnostic Radiology)
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
ZACHARY HAIDER AUKERS
Surgery
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
JANET NOEL HAUSDORF
Physical Therapist
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
MRS. SIDNEY ROUNDY BAUMAN PT, DPT
Physical Therapist
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000
CHRISTINE BIELAN MSN, RN
Registered Nurse
4500 SAN PABLO RD, DAVIS BUILDING 422 EAST - DEPT OF HEART TRANSPLANT
JACKSONVILLE, FL 32224
Duval County (904) 956-8780
LADARRIAN COBB OT
Occupational Therapist
4500 SAN PABLO RD
JACKSONVILLE, FL 32224
Duval County (904) 953-2000

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 Phillipps's NPI number?

The NPI number for Jordan Phillipps is 1992555858. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Jordan Phillipps located?

Jordan Phillipps practices at 4500 San Pablo Rd, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.

What is Jordan Phillipps's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Jordan Phillipps enrolled in Medicare?

Yes. Jordan Phillipps 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.

Which organization bills Medicare for Jordan Phillipps's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Phillipps reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, FL). 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 Jordan Phillipps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Phillipps accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jordan Phillipps 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.

Is Jordan Phillipps affiliated with any hospitals?

According to CMS data, Jordan Phillipps is affiliated with Mayo Clinic.

When was this NPI record last updated?

The NPPES record for Jordan Phillipps was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.