NPIMap

Individual provider Active NPI

Jordan L Loftis, MD

  • Family Medicine Physician
  • Cocoa Beach, FL
National Provider Identifier
1477711760
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48796 Issued in CO
Practice address
1980 N Atlantic Ave Ste 905
Cocoa Beach, FL 32931-3277
Phone
(321) 342-4948
Fax
(321) 342-7451
NPI assigned
May 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48796 CO Primary

Addresses

Primary practice location

1980 N Atlantic Ave Ste 905
Cocoa Beach, FL 32931-3277

Mailing address

1980 N Atlantic Ave Ste 905
Cocoa Beach, FL 32931-3277
Phone (321) 342-4948

Other identifiers 1

IdentifierTypeStateIssuer
1477711760OtherCONPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623002183 FL Practitioner - Family Practice 0840351359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

1980 N Atlantic Ave
Suite 905
Cocoa Beach, FL 32931-3277
Phone (770) 312-5226

Hospital & facility affiliations

  • Health First Home Care Home health agency, Melbourne, FL, CCN 107233
  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Vitas Healthcare Corporation of Florida Hospice, Tallahassee, FL, CCN 101513
  • Vitas Healthcare of Dothan Hospice, Dothan, AL, CCN 011577
  • Parrish Medical Center Hospital, Titusville, FL, CCN 100028
  • Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48796COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients
Complete Care LLC CurrentSince Oct 1, 2020 Accepting new patients
Cocoa Beach Family Medicine Family Medicine Current Accepting new patients
My Vital View, LLC CurrentSince Jul 19, 2022 Accepting new patients

Locations

1980 N Atlantic Ave
Ste 905
Cocoa Beach, FL 32931
Phone (321) 342-4948

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

2194 Highway A1A
Ste 107
Indian Harbour Beach, FL 32937
Phone (321) 241-4551

2400 N Courtenay Pkwy
Ste 100
Merritt Island, FL 32953
Phone (321) 784-8211

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Interoperability endpoints

  • Direct secure messaging: jordan.loftis.1@8042.direct.athenahealth.com
  • Direct secure messaging: jordanloftis@ccl-fl.direct.office.nextgen.com
  • FHIR API: https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1477711760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE STE 905",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313277",
            "telephone_number": "321-342-4948",
            "fax_number": "321-342-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ATLANTIC AVE STE 905",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313277",
            "telephone_number": "321-342-4948",
            "fax_number": "321-342-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "JORDAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "48796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477711760",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.