Individual provider Active NPI

Jordan Griffin Whaley, PA-C

  • Physician Assistant
  • Greenville, NC
National Provider Identifier
1396384517
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09715 Issued in NC
Practice address
2210 Hemby LN
Greenville, NC 27834-3789
Phone
(252) 551-3000
Fax
(252) 551-3100
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-09715 NC Primary

Addresses

Primary practice location

2210 Hemby LN
Greenville, NC 27834-3789

Mailing address

2528 Autumn Ridge LN
Greenville, NC 27834-4549
Phone (252) 813-4860

Other practice location 1

1711 E Arlington Blvd
Greenville, NC 27858-5872
Phone (252) 355-4357

Other names 1

  • Jordan Raye Griffin Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200302001978 NC Practitioner - Physician Assistant 7012344195 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians East PAGroup PAC ID 1850284571, 104 clinicians

Practice addresses (Care Compare)

1711 E Arlington Blvd
Greenville, NC 27858-5872
Phone (252) 355-4357

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6641

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
97.02
Promoting interoperability
100
Improvement activities
40
Cost
70.72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, PA CurrentSince Dec 1, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 19, 2024 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 19, 2024 Accepting new patients
Physicians East PA Past Accepting new patients

Locations

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

1711 E Arlington Blvd
Greenville, NC 27858
Phone (252) 355-4357

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1473 NC 42 43 W
Pinetops, NC 27864
Phone (252) 641-8585

Interoperability endpoints

  • Direct secure messaging: jordangriffin@pepa.medalliesdirect.net
  • Direct secure messaging: jordanwhaley@pepa.medalliesdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1396384517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 AUTUMN RIDGE LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344549",
            "telephone_number": "252-813-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 HEMBY LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343789",
            "telephone_number": "252-551-3000",
            "fax_number": "252-551-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 E Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585872",
            "country_code": "US",
            "telephone_number": "252-355-4357",
            "fax_number": "252-813-4860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHALEY",
        "first_name": "JORDAN",
        "middle_name": "GRIFFIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "GRIFFIN",
            "middle_name": "RAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.