Individual provider Active NPI

Jordan G Stanley, MD

  • Orthopaedic Surgery Physician
  • Longview, TX
National Provider Identifier
1174514350
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
J8786 Issued in TX
Practice address
802 Medical Cir Ste 300
Longview, TX 75605-5204
Phone
(903) 758-2746
Fax
(903) 553-7755
NPI assigned
Nov 4, 2005
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X J8786 TX Primary

Addresses

Primary practice location

802 Medical Cir Ste 300
Longview, TX 75605-5204

Mailing address

323 E Hawkins Pkwy Ste a
Longview, TX 75605-7905
Phone (903) 758-2746

Other practice location 1

323 E Hawkins Pkwy Ste A
Longview, TX 75605-7905
Phone (903) 758-2746

Other identifiers 1

IdentifierTypeStateIssuer
134273507MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040520001182 TX Practitioner - Orthopedic Surgery 1951392695 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Clinics of LongviewGroup PAC ID 7214016559, 38 clinicians

Practice addresses (Care Compare)

1009 N 4TH St
Suite a
Longview, TX 75601-4768
Phone (903) 757-3808

1806 E End Blvd N
Marshall, TX 75670-0728
Phone (903) 758-2746

2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818

802 Medical Cir
Suite 300
Longview, TX 75605-5204
Phone (903) 232-1622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Longview Orthopaedic Clinic Association Orthopaedic Surgery CurrentSince Jul 1, 1999 Accepting new patients
Regional Clinics of Longview Orthopaedic Surgery CurrentSince Feb 1, 2024 Accepting new patients
Longview Specialty Physicians Past Accepting new patients
Diagnostic Clinic of Longview PA Orthopaedic Surgery Past Accepting new patients

Locations

1009 N 4th St
Ste A
Longview, TX 75601
Phone (903) 757-3808

323 E Hawkins Pkwy
Ste A
Longview, TX 75605
Phone (903) 758-2746

409 N 6th St
Longview, TX 75601
Phone (903) 315-5520

802 Medical Cir
Ste 300
Longview, TX 75605
Phone (903) 315-2730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jordan.stanley.1@16432.direct.athenahealth.com

Organizations & group practices 4

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 4

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1174514350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 E HAWKINS PKWY STE A",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057905",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEDICAL CIR STE 300",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055204",
            "telephone_number": "903-758-2746",
            "fax_number": "903-553-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 E Hawkins Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756057905",
            "country_code": "US",
            "telephone_number": "903-758-2746",
            "fax_number": "903-758-7127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "JORDAN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "J8786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134273507",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.