Active NPI
Jordan Thomas Houston, PA-C
- Medical Physician Assistant
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 008366
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Candler Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Hospital Authority of Candler County | Current | Accepting new patients | |
| Savannah Vascular Institute, LLC | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Specialist
- Savannah, GA
- NPI 1013012145
-
- Medicare Defined Swing Bed Hospital Unit
- Metter, GA
- NPI 1588868947
-
- Primary Care Clinic/Center
- Pulaski, GA
- NPI 1316523707
-
- Critical Access Hospital
- Metter, GA
- NPI 1790888089
-
- Rural Health Clinic/Center
- Metter, GA
- NPI 1831728005
-
- Vascular Surgery Physician
- Savannah, GA
- NPI 1184873390
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1275527889
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1063406684
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
- Hospice Savannah, Inc
- Hospital Medicine Services of Ga LLC
- Hospitalist Medicine Physicians of Georgia-TCG, PC
- Hourlife LLC
- Janieya Marie Houston
- Howard Family Dental - Windsor Forest, LLC
- Howard Family Dental-Diamond Causeway, LLC
- Howard Family Dental-Midtown, LLC
- Howard Family Dental-Southside, LLC
- Howard Family Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.