Active NPI
Jordan Davis Santaloci, PA-C
- Physician Assistant
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-08749
- Practice address
- 900A Centrepark Dr
Asheville, NC 28805-1274 - Phone
- (828) 767-1643
- Fax
- (828) 676-1075
- NPI assigned
- Dec 20, 2018
- Last updated
- Jul 29, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-08749 | NC | Primary |
Addresses
Primary practice location
900A Centrepark Dr
Asheville, NC 28805-1274
Mailing address
PO Box 25804
Winston Salem, NC 27114-5804
Phone (364) 448-9100
Other practice location 1
1521 Owen Park Ln
Fayetteville, NC 28304-3454
Phone (910) 223-7420
Other practice location 2
3821 Forrestgate Dr
Winston Salem, NC 27103-2930
Phone (336) 448-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NN5736A | Other | NC | MEDICARE PTAN |
| 1093287583 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ernesto J F Graham MD PA | Current | Accepting new patients | |
| A Brighter Future Medical | Past | Accepting new patients | |
| Carolinas Fertility Institute, P.a. | Past | Accepting new patients |
Locations
1521 Owen Park Ln
Fayetteville, NC 28304
Phone (910) 223-7420
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1528161668
-
- Nurse Practitioner
- Fayetteville, NC
- NPI 1538491642
-
- Reproductive Endocrinology Physician
- Asheville, NC
- NPI 1972284396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1093287583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25804",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271145804",
"telephone_number": "364-448-9100",
"fax_number": "336-448-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900A CENTREPARK DR",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288051274",
"telephone_number": "828-767-1643",
"fax_number": "828-676-1075"
}
],
"practiceLocations": [
{
"address_1": "1521 Owen Park Ln",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043454",
"country_code": "US",
"telephone_number": "910-223-7420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3821 Forrestgate Dr",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271032930",
"country_code": "US",
"telephone_number": "336-448-9100",
"fax_number": "336-448-5282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANTALOCI",
"first_name": "JORDAN",
"middle_name": "DAVIS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-08749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "NN5736A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093287583",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.