NPIMap

Individual provider Active NPI

Christina Jordan, NP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1679930929
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901432 Issued in MS
Practice address
144 S Thomas St Ste 202
Tupelo, MS 38801-5337
Phone
(662) 269-4453
Fax
(662) 553-4018
NPI assigned
Jan 18, 2016
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901432 MS Primary

Addresses

Primary practice location

144 S Thomas St Ste 202
Tupelo, MS 38801-5337

Mailing address

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3270

Other practice location 1

830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161108001616 MS Practitioner - Nurse Practitioner 2365721727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Tupelo, MS 38801
Phone (662) 269-4453

830 S Gloster St 4TH FL E Tower
Cardiothoracic and Vascular
Tupelo, MS 38801-4934
Phone (662) 377-7170

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC CurrentSince May 20, 2024 Accepting new patients
North Mississippi Electrophysiology, LLC CurrentSince Apr 1, 2020 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince May 20, 2024 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Oct 10, 2016 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 10, 2016 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

144 S Thomas St
Ste 202
Tupelo, MS 38801
Phone (662) 269-4453

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

4579 S Eason Blvd
Ste A
Tupelo, MS 38801
Phone (662) 377-6161

499 Gloster Creek Vlg
Ste A2
Tupelo, MS 38801
Phone (662) 620-6800

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

830 S Gloster St
Fl 4
Tupelo, MS 38801
Phone (662) 377-7100

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: christinajordan@nmhs.medalliesdirect.net

Organizations & group practices 8

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 5

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1679930929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-3270",
            "fax_number": "662-377-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S THOMAS ST STE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015337",
            "telephone_number": "662-269-4453",
            "fax_number": "662-553-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014934",
            "country_code": "US",
            "telephone_number": "662-377-3270",
            "fax_number": "662-377-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHRISTINA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.