Individual provider Active NPI

Mary Elisabeth Jordan, FNP-C

  • Family Nurse Practitioner
  • Jasper, TN
National Provider Identifier
1629518626
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22310 Issued in TN
Practice address
4665 Main St Suite 2
Jasper, TN 37347
Phone
(423) 942-0145
Fax
(423) 942-0146
NPI assigned
Feb 24, 2017
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22310 TN Primary
Family Health Clinical Nurse Specialist 364SF0001X 22310 TN

Addresses

Primary practice location

4665 Main St Suite 2
Jasper, TN 37347

Mailing address

4665 Main St Suite 2
Jasper, TN 37347
Phone (423) 942-0145

Other practice location 1

1415 Hillsboro Blvd Ste 106
Manchester, TN 37355-2599
Phone (931) 954-5605

Other names 1

  • Beth Jordan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180130001349 TN Practitioner - Nurse Practitioner 6800152026 Reassigns benefits to 5 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
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

1415 Hillsboro Blvd
Suite 6
Manchester, TN 37355-2690
Phone (855) 632-3278

9203 Kingston Pike
Knoxville, TN 37922-2318
Phone (865) 299-6192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22310TNMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Tennessee, PC CurrentSince Nov 30, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 22, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 22, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
SHC Medical Partners of Tennessee, LLC CurrentSince Aug 10, 2020 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Nov 30, 2025 Accepting new patients
Afc Physicians of Tennessee, PC Past Accepting new patients

Locations

12201 Bluegrass Pkwy
Louisville, KY 40299
Phone (502) 568-7364

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

1015 Hunters Xing
Alcoa, TN 37701
Phone (856) 238-2006

3520 Cummings Hwy
Chattanooga, TN 37419
Phone (205) 745-4291

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

1763 Madison St
Clarksville, TN 37043
Phone (931) 278-8000

291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008

9203 Kingston Pike
Knoxville, TN 37922
Phone (865) 299-6192

1415 Hillsboro Blvd
#6
Manchester, TN 37355
Phone (855) 632-3278

1415 Hillsboro Blvd
Ste 106
Manchester, TN 37355
Phone (931) 954-5605

26 2nd St
Monteagle, TN 37356
Phone (931) 392-3003

355 Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (615) 773-7933

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

415 Cole Dr
Pigeon Forge, TN 37863
Phone (865) 428-5454

985 Industrial Blvd
Smyrna, TN 37167
Phone (615) 220-8500

2070 Wall St
Spring Hill, TN 37174
Phone (615) 567-8965

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1629518626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 MAIN ST SUITE 2",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "37347",
            "telephone_number": "423-942-0145",
            "fax_number": "423-942-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 MAIN ST SUITE 2",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "37347",
            "telephone_number": "423-942-0145",
            "fax_number": "423-942-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Hillsboro Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "TN",
            "postal_code": "373552599",
            "country_code": "US",
            "telephone_number": "931-954-5605",
            "fax_number": "931-954-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARY",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22310",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "22310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "JORDAN",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jasper, TN

Sources for this page

Verify at the official NPI Registry.