Individual provider Active NPI

Jordan D'Nelle Jones, PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1205377306
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55556 Issued in CA
Practice address
1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone
(512) 509-5990
NPI assigned
Mar 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2019-002 NM
Physician Assistant 363A00000X 50.005032RX OH
Physician Assistant 363A00000X 024606 NY
Physician Assistant 363A00000X MA061706 PA
Physician Assistant 363A00000X 55556 CA Primary

Addresses

Primary practice location

1507 Rivery Blvd
Georgetown, TX 78628-3058

Mailing address

2218 Polo Park Dr
Dayton, OH 45439-3267
Phone (612) 940-4029

Other practice location 1

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

Other practice location 2

4058 Willows Rd
Alpine, CA 91901-1668
Phone (800) 400-1189

Other practice location 3

251 Landis Ave
Chula Vista, CA 91910-2628
Phone (619) 515-2500

Other practice location 4

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 682-7111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jjones1428235@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 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
I20180718002750 CA Practitioner - Physician Assistant 1658628912 Reassigns benefits to 4 organizations
I20200325002858 TX Practitioner - Physician Assistant 1658628912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
Family Health Centers of San Diego IncGroup PAC ID 3476446378, shared by 46 NPIs, 299 clinicians
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

11209 S Interstate Hwy 35
Baylor Scott and White Clinic Onion
Austin, TX 78747-1712
Phone (512) 654-4700

1507 Rivery Blvd
Georgetown, TX 78628-3058
Phone (512) 509-9550

16018 W Hwy 71 Pass
Baylor Scott and White Clinic Bee Cave
Bee Cave, TX 78738-7115
Phone (512) 654-3900

1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100

1701 E Pflugerville Pkwy
Baylor Scott and White Clinic Pflug
Pflugerville, TX 78660-8990
Phone (512) 259-6000

1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300

1846 N Broadway
Suite a
Santa Maria, CA 93454-1447
Phone (805) 361-4279

2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459

2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663

2600 E Pflugerville Pkwy
BLDG 2
Pflugerville, TX 78660-5998
Phone (512) 654-6500

2608 Brockton Dr
Austin, TX 78758-4414
Phone (512) 654-4050

4945 Williams Dr
Baylor Scott and White Clinic Georg
Georgetown, TX 78633-2008
Phone (512) 819-0500

5000 W Slaughter LN 100 BLDG
6 Baylor Scott and White Clinic Austi
Austin, TX 78749-4015
Phone (512) 291-8002

525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498

777 E Foothill Blvd
San Luis Obispo, CA 93405-1617
Phone (805) 762-4348

810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585

900 E Whitestone Blvd
Cedar Park, TX 78613-9093
Phone (512) 684-4911

910 E Whitestone Blvd
Baylor Scott and White Clinic Cedar
Cedar Park, TX 78613-9093
Phone (512) 260-6100

Hospital & facility affiliations

  • Baylor Scott & White Medical Center - Round Rock Hospital, Round Rock, TX, CCN 670034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024606NYMDClinical Psychologist
55556CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA2019-002NMMDPhysician Assistant
50.005032RXOHMDPhysician Assistant
MA061706PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tehama CurrentSince Oct 29, 2018 Accepting new patients
Scott and White Clinic CurrentSince Apr 30, 2025 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Feb 18, 2021 Accepting new patients
Family Health Centers of San Diego Inc CurrentSince Feb 18, 2021 Accepting new patients
Family Health Centers of San Diego Inc Current Accepting new patients
Cottage Medical Associates Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations

251 Landis Ave
Chula Vista, CA 91910
Phone (619) 515-2500

1850 Walnut St
Red Bluff, CA 96080
Phone (530) 527-0350

1860 Walnut St
Red Bluff, CA 96080
Phone (530) 527-5631

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

Organizations & group practices 12

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 1

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": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1205377306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 POLO PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454393267",
            "telephone_number": "612-940-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 RIVERY BLVD",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283058",
            "telephone_number": "512-509-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 National Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921132113",
            "country_code": "US",
            "telephone_number": "619-515-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4058 Willows Rd",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "CA",
            "postal_code": "919011668",
            "country_code": "US",
            "telephone_number": "800-400-1189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Landis Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102628",
            "country_code": "US",
            "telephone_number": "619-515-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Pueblo St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054353",
            "country_code": "US",
            "telephone_number": "805-682-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JORDAN",
        "middle_name": "D'NELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2019-002",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005032RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024606",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061706",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jjones1428235@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1507 Rivery Blvd",
            "city": "Georgetown",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786283058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.