Individual provider Active NPI

Charandle S Jordan, MD

  • Hospitalist Physician
  • Meridian, MS
National Provider Identifier
1003258930
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
86891 Issued in GA
Practice address
1314 19TH Ave
Meridian, MS 39301-4116
Phone
(601) 483-0011
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A133826 CA
Internal Medicine Physician 207R00000X 890 GA
Hospitalist Physician 208M00000X 86891 GA Primary
Hospitalist Physician 208M00000X A133826 CA
Internal Medicine Physician 207R00000X 26465 MS

Addresses

Primary practice location

1314 19TH Ave
Meridian, MS 39301-4116

Mailing address

4315 Highway 39 N Apt 10K
Meridian, MS 39301-1017
Phone (650) 775-3312

Other practice location 1

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5000

Other practice location 2

2124 14th St
Meridian, MS 39301-4040
Phone (601) 553-6000

Other practice location 3

275 Carpenter Dr Ste 310
Atlanta, GA 30328-4911
Phone (844) 644-4325

Other names 1

  • Charandle S Jordan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MS, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160802001542 CA Practitioner - HospitalistPractitioner - Internal Medicine 7719271535 Reassigns benefits to 1 organization
I20190326001953 MS Practitioner - Internal Medicine 7719271535 Reassigns benefits to 3 organizations
I20201201001032 GA Practitioner - Internal Medicine 7719271535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Stanford University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Foundation IncGroup PAC ID 9234043712, 211 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 484-6700

2401 16TH St
Meridian, MS 39301-3950
Phone (601) 482-4181

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as group
Quality
78.43
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
70.62 of 100Reported as group
Quality
39.81
Improvement activities
40
Cost
80.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
890GAMDInternal Medicine Physician
26465MSMDInternal Medicine Physician
A133826CAMDHospitalist Physician
86891GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinic of Meridian, P.a. Current Accepting new patients
Anderson Physician Alliance, Inc. Internal Medicine CurrentSince Mar 1, 2025 Accepting new patients
Medical Foundation, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Medical Foundation, Inc. Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
The Emory Clinic Inc Internal Medicine CurrentSince Feb 9, 2026 Accepting new patients
Rush Medical Foundation Past Accepting new patients
Heal Doctors Ihwa, P.C. Internal Medicine PastSince Aug 22, 2020 Accepting new patients
Emory Health Care Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

2124 14th St
Meridian, MS 39301
Phone (601) 483-8811

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

1600 22nd Ave
Meridian, MS 39301
Phone (601) 483-5322

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

Networks

  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • AL HMO
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1003258930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HIGHWAY 39 N APT 10K",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011017",
            "telephone_number": "650-775-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 19TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014116",
            "telephone_number": "601-483-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014001",
            "country_code": "US",
            "telephone_number": "601-703-5000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2124 14th St",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393014040",
            "country_code": "US",
            "telephone_number": "601-553-6000",
            "fax_number": "601-703-0124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Carpenter Dr Ste 310",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303284911",
            "country_code": "US",
            "telephone_number": "844-644-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHARANDLE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A133826",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "890",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "86891",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A133826",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "26465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARANDLE",
            "last_name": "JORDAN",
            "middle_name": "S",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.