Individual provider Active NPI

Jordan Thomas Pharris, DO

  • Family Medicine Physician
  • Morgantown, KY
National Provider Identifier
1659934917
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05358 Issued in KY
Practice address
1238 S Main St
Morgantown, KY 42261-7234
Phone
(270) 526-3137
Fax
(270) 526-4829
NPI assigned
Apr 22, 2019
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 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 05358 KY Primary

Addresses

Primary practice location

1238 S Main St
Morgantown, KY 42261-7234

Mailing address

PO Box 148
Hartford, KY 42347-0148
Phone (702) 504-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727004337 KY Practitioner - Family Practice 0648603522 Reassigns benefits to 1 organization
I20220923002115 AL Practitioner - Family Practice 0648603522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio County Hospital CorporationGroup PAC ID 3577477264, 84 clinicians

Practice addresses (Care Compare)

1313 N Main St
Beaver Dam, KY 42320-8957
Phone (270) 274-9928

20 E McMurtry Ave
Hartford, KY 42347-1647
Phone (270) 504-1300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05358KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince May 19, 2022 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Ohio County Hospital Corporation CurrentSince Apr 1, 2024 Accepting new patients
American Family Care, LLC CurrentSince May 19, 2022 Accepting new patients
Ohio County Hospital Corporation Family Medicine CurrentSince Apr 1, 2024 Accepting new patients

Locations

3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

710 15th St E
Tuscaloosa, AL 35401
Phone (205) 509-2941

9070 Highway 69 S
Tuscaloosa, AL 35405
Phone (205) 722-9500

1313 N Main St
Beaver Dam, KY 42320
Phone (270) 274-9928

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

20 E McMurtry Ave
Hartford, KY 42347
Phone (270) 504-1300

1238 S Main St
Morgantown, KY 42261
Phone (270) 526-3137

Organizations & group practices 5

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 2

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1659934917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "702-504-1910",
            "fax_number": "270-298-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 S MAIN ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617234",
            "telephone_number": "270-526-3137",
            "fax_number": "270-526-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHARRIS",
        "first_name": "JORDAN",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

Verify at the official NPI Registry.