Active NPI
Jason Jordan
- Psychiatry Physician
- Shreveport, LA
National Provider Identifier
1447612825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 313429
- Practice address
- 920 Pierremont Rd Ste 205
Shreveport, LA 71106-2093 - Phone
- (318) 632-7426
- Fax
- (800) 446-6048
- NPI assigned
- Mar 24, 2016
- Last updated
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 313429 | LA | Primary |
Addresses
Primary practice location
920 Pierremont Rd Ste 205
Shreveport, LA 71106-2093
Mailing address
920 Pierremont Rd Ste 205
Shreveport, LA 71106-2093
Phone (318) 632-7426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
920 Pierremont Rd
Suite 205
Shreveport, LA 71106-2093
Phone (318) 632-7426
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jason.jordan.1@33079.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Shreveport, LA
- NPI 1497542492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1447612825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 PIERREMONT RD STE 205",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062093",
"telephone_number": "318-632-7426",
"fax_number": "800-446-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 PIERREMONT RD STE 205",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711062093",
"telephone_number": "318-632-7426",
"fax_number": "800-446-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-24",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "313429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.