Individual provider Active NPI

Jordan Thomas Houston, PA-C

  • Medical Physician Assistant
  • Savannah, GA
National Provider Identifier
1013446103
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008366 Issued in GA
Practice address
519 Stephenson Ave
Savannah, GA 31405-5969
Phone
(912) 354-9447
Fax
(912) 401-0741
NPI assigned
Jun 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008366 GA Primary

Addresses

Primary practice location

519 Stephenson Ave
Savannah, GA 31405-5969

Mailing address

519 Stephenson Ave
Savannah, GA 31405-5969
Phone (912) 354-9447

Other practice location 1

340 Eisenhower Dr Ste 1500
Savannah, GA 31406-1603
Phone (912) 354-9447

Other practice location 2

114 Canal St Ste 501
Pooler, GA 31322-4261
Phone (912) 354-9447

Other practice location 3

459 Georgia Highway 119 S
Springfield, GA 31329-3021
Phone (912) 354-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717002586 GA Practitioner - Physician Assistant 6800166356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Consultants of Savannah PCGroup PAC ID 6305736208, 11 clinicians
Hospital Authority of Candler CountyGroup PAC ID 5294623948, 36 clinicians

Practice addresses (Care Compare)

519 Stephenson Ave
Savannah, GA 31405-5969
Phone 9123549447654

PO Box
Suite 597
Metter, GA 30439

Hospital & facility affiliations

  • St Joseph'S Hospital - Savannah Hospital, Savannah, GA, CCN 110043
  • Candler Hospital Hospital, Savannah, GA, CCN 110024

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Candler County CurrentSince Apr 18, 2025 Accepting new patients
Hospital Authority of Candler County CurrentSince Apr 18, 2025 Accepting new patients
Savannah Vascular Institute, LLC PastSince Jul 16, 2019 Accepting new patients
Hospital Authority of Candler County Past Accepting new patients

Locations

637 S Lewis St
Metter, GA 30439
Phone (912) 685-1800

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jordan.houston.1@23328.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013446103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-401-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 STEPHENSON AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055969",
            "telephone_number": "912-354-9447",
            "fax_number": "912-401-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Eisenhower Dr Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314061603",
            "country_code": "US",
            "telephone_number": "912-354-9447",
            "fax_number": "912-401-0741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 Canal St Ste 501",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224261",
            "country_code": "US",
            "telephone_number": "912-354-9447",
            "fax_number": "912-401-0741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "459 Georgia Highway 119 S",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "GA",
            "postal_code": "313293021",
            "country_code": "US",
            "telephone_number": "912-354-9447",
            "fax_number": "912-401-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "008366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.