Individual provider Active NPI

Jordan Teal, CRNP

  • Acute Care Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1417495011
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-135323 Issued in AL
Practice address
300 Medical Center Dr
Suite 200 - Etowah Pulmonology Associates
Gadsden, AL 35903-1157
Phone
(256) 494-4646
NPI assigned
Feb 3, 2017
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-135323 AL Primary

Addresses

Primary practice location

300 Medical Center Dr
Suite 200 - Etowah Pulmonology Associates
Gadsden, AL 35903-1157

Mailing address

300 Medical Center Dr
Suite 200 - Etowah Pulmonology Associates
Gadsden, AL 35903-1157
Phone (256) 494-4646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jordan.teal.1@1831.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190503001398 AL Practitioner - Nurse Practitioner 6901148345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affinity Cardiovascular Specialists LLCGroup PAC ID 1658680434, 44 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4206

7063 Veterans Pkwy
Pell City, AL 35125-5114
Phone (205) 971-0139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Cardiovascular Specialists LLC CurrentSince Jan 1, 2022 Accepting new patients
Gadsden Regional Physician Group Practice LLC CurrentSince Mar 19, 2019 Accepting new patients
Allergy Associates, Inc Past Accepting new patients
Southern Cardiovascular Associates, PC PastSince Jun 21, 1993 Accepting new patients

Locations

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1102 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6505

300 Medical Center Dr
Ste 200
Gadsden, AL 35903
Phone (256) 328-2830

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • Direct secure messaging: jordan.teal.1@9954.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 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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1417495011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "SUITE 200 - ETOWAH PULMONOLOGY ASSOCIATES",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-494-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL CENTER DR",
            "address_2": "SUITE 200 - ETOWAH PULMONOLOGY ASSOCIATES",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031157",
            "telephone_number": "256-494-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAL",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-135323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jordan.teal.1@1831.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Medical Center Dr",
            "address_2": "Suite 200 - Etowah Pulmonology Associates",
            "city": "Gadsden",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359031157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.