Jordan Burke, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2436 Issued in TN

Practice address

111 W Stone Dr Ste 110
Kingsport, TN 37660-6027

Phone

(423) 224-3701

Fax

(423) 224-3709

NPI assigned

Nov 12, 2013

Last updated

Feb 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN, VA2 enrollments

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 2

Specialty

Physician Assistant

Education

University of Virginia School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians

Blue Ridge Medical Management CorporationGroup PAC ID 9739099441, 283 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Smyth County Community Hospital Hospital, Marion, VA, CCN 490038
• Hawkins County Memorial Hospital Hospital, Rogersville, TN, CCN 440032
• Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.burke.1@19273.direct.athenahealth.com

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.

• Wellmont Medical Associates Inc

  dba Ballad Health Medical Associates

  • Pulmonary Disease Physician
  • Bristol, TN
  • NPI 1780986257

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567
  Medicare reassignment Care Compare group
• Blue Ridge Medical Management Corporation

  dba First Assist Urgent Care

  • Urgent Care Clinic/Center
  • Elizabethton, TN
  • NPI 1144380833
  Medicare reassignment
• Foundation Health Services, PLLC

  dba Foundation Health

  • Urgent Care Clinic/Center
  • Johnson City, TN
  • NPI 1376922278
  Medicare reassignment
• Wellmont Medical Associates Inc

  dba Ballad Health Medical Associates

  • Internal Medicine Physician
  • Abingdon, VA
  • NPI 1174808216
  Medicare reassignment
• Blue Ridge Medical Management Corporation

  • Wound Care Registered Nurse
  • Erwin, TN
  • NPI 1467105171
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Family Medicine Physician
  • Johnson City, TN
  • NPI 1982553756
  NPD
• Wellmont Medical Associates, Inc.

  dba Ballad Health Medical Associates

  • Psychiatry Physician
  • Johnson City, TN
  • NPI 1275393522
  NPD
• Blue Ridge Medical Management Corporation

  dba Ballad Health Medical Associates

  • Urology Physician
  • Marion, VA
  • NPI 1386936078
  NPD
• Wellmont Medical Associates, Inc.

  dba Ballad Health Medical Associates

  • Internal Medicine Physician
  • Norton, VA
  • NPI 1003274994
  NPD
• Wellmont Medical Associates, Inc.

  dba Ballad Health Medical Associates

  • Internal Medicine Physician
  • Johnson City, TN
  • NPI 1154789030
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mountain States Health Alliance

  dba Woodridge Hospital

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1023434339
  Care Compare affiliation
• Mountain States Health Alliance

  dba Johnson City Medical Center

  • Psychiatric Hospital Unit
  • Johnson City, TN
  • NPI 1962915652
  Care Compare affiliation
• Mountain States Health Alliance

  dba Johnson City Medical Center

  • General Acute Care Hospital
  • Johnson City, TN
  • NPI 1972606465
  Care Compare affiliation
• Wellmont Hawkins County Memorial Hospital Inc

  dba Hawkins County Memorial Hospital

  • General Acute Care Hospital
  • Rogersville, TN
  • NPI 1174553598
  Care Compare affiliation
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation
• Smyth County Community Hospital

  • General Acute Care Hospital
  • Marion, VA
  • NPI 1073519377
  Care Compare affiliation
• Smyth County Community Hospital

  dba Center for Sleep Disorders at SCCH

  • General Acute Care Hospital
  • Marion, VA
  • NPI 1194104687
  Care Compare affiliation
• Smyth County Community Hospital

  • Durable Medical Equipment & Medical Supplies
  • Marion, VA
  • NPI 1750433389

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1659701696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-952-2111",
            "fax_number": "423-282-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W STONE DR STE 110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376606027",
            "telephone_number": "423-224-3701",
            "fax_number": "423-224-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "378 Marketplace Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042361",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "fax_number": "423-282-1577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Fort Henry Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "37663",
            "country_code": "US",
            "telephone_number": "423-224-3950",
            "fax_number": "423-224-3959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "438 E Vann Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377437202",
            "country_code": "US",
            "telephone_number": "423-636-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Heart Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042607",
            "country_code": "US",
            "telephone_number": "423-282-0751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 Overlook Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242663436",
            "country_code": "US",
            "telephone_number": "276-883-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Commonwealth Dr",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242734053",
            "country_code": "US",
            "telephone_number": "276-679-6028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 W State St",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376201817",
            "country_code": "US",
            "telephone_number": "423-844-0026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1497 W Elk Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432896",
            "country_code": "US",
            "telephone_number": "423-542-8929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24530 Falcon Place Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117665",
            "country_code": "US",
            "telephone_number": "276-619-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Scenic Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572441",
            "country_code": "US",
            "telephone_number": "423-921-3490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKE",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004691",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659701696",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003860",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kyle Buck III, MD
• Katelyn Marcel Buckner
• Dawnna E Burchett, PHARMD
• Robert Spencer Burger, BS
• Amanda Hayes Burk
• Trisha Gail Burke
• James Henry Burleson, M.D.
• Amanda Susan Burns, ARNP
• Riann J Burroughs, FNP
• Floyd Vernon Burton, M.D.

• Physician Assistant in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.