Jesse James Ray Jordan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12632 Issued in NC

Practice address

2718 Henry St
Greensboro, NC 27405-3633

Phone

(336) 375-1007

Fax

(336) 375-9615

NPI assigned

Sep 13, 2022

Last updated

Jan 9, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Orthopaedic Specialists PAGroup PAC ID 4587568472, 6 clinicians

Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.jordan.1@847.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.

• Southeastern Orthopaedic Specialists, PA

  dba Guilford Orthopaedic & Sports Medicine Ctr

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1790724706
  Medicare reassignment Care Compare group NPD
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment Care Compare group NPD
• Southeastern Orthopaedic Specialists, PA

  dba Murphy Wainer Orthopedic Specialists

  • Orthopaedic Surgery Physician
  • Greensboro, NC
  • NPI 1629012935

  Physician Assistant

  NPD

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1699497008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-375-1007",
            "fax_number": "336-375-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 HENRY ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053633",
            "telephone_number": "336-375-1007",
            "fax_number": "336-375-9615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 W Ward St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035423",
            "country_code": "US",
            "telephone_number": "336-333-6443",
            "fax_number": "336-799-4436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1915 Lendew St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087033",
            "country_code": "US",
            "telephone_number": "336-275-3325",
            "fax_number": "336-275-5346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JESSE",
        "middle_name": "JAMES RAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12632",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-12632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan HGH LLC
• Jordan HGH LLC
• Alicia Nicole Jordan, PHARMD
• Amy Young Jordan, M.D.
• Fatima Jordan, LPC, CRC, LCASA
• Kaylin Jordan
• Megan Duffany Jordan, LCMHCS
• Melissa Jordan, LPN
• Peter Manning Jordan, M.D.
• Rachell Jordan

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.