Individual provider Active NPI

Jordan Brody Stevens, FNP-BC

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1093422842
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5022047 Issued in NC
Practice address
1381 Westgate Center Dr
Winston Salem, NC 27103-2934
Phone
(336) 718-0100
Fax
(336) 718-0120
NPI assigned
Nov 1, 2022
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024185686 VA
Nurse Practitioner 363L00000X 5022047 NC Primary
Family Nurse Practitioner 363LF0000X 5022047 NC
Family Nurse Practitioner 363LF0000X 0024185686 VA

Addresses

Primary practice location

1381 Westgate Center Dr
Winston Salem, NC 27103-2934

Mailing address

8109 Hinson Farm Rd Ste 504
Alexandria, VA 22306-3411
Phone (703) 780-2800

Other practice location 1

8109 Hinson Farm Rd Ste 504
Alexandria, VA 22306-3411
Phone (703) 780-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230321001309 DC Practitioner - Nurse Practitioner 4880068501 Reassigns benefits to 1 organization
I20250911003181 NC Practitioner - Nurse Practitioner 4880068501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

1381 Westgate Ctr Dr
Winston Salem, NC 27103-2934
Phone (336) 718-0440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024185686VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jan 1, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 28, 2025 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

1381 Westgate Center Dr
Winston Salem, NC 27103
Phone (336) 718-0100

8109 Hinson Farm Rd
Ste 504
Alexandria, VA 22306
Phone (703) 339-3210

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8988 Lorton Station Blvd
Ste 100
Lorton, VA 22079
Phone (703) 339-3210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jstevens1709053@direct.novanthealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1093422842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 HINSON FARM RD STE 504",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063411",
            "telephone_number": "703-780-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032934",
            "telephone_number": "336-718-0100",
            "fax_number": "336-718-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8109 Hinson Farm Rd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063411",
            "country_code": "US",
            "telephone_number": "703-780-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JORDAN",
        "middle_name": "BRODY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024185686",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022047",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022047",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.