Individual provider Active NPI

Jordan Elyse Hedke, PA-C

  • Physician Assistant
  • Alabaster, AL
National Provider Identifier
1720887375
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2557 Issued in AL
Practice address
615 1St St N
Alabaster, AL 35007-8892
Phone
(205) 624-2100
NPI assigned
Mar 7, 2025
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2557 AL Primary

Addresses

Primary practice location

615 1St St N
Alabaster, AL 35007-8892

Mailing address

118 Shine Dr
Pelham, AL 35124-1513
Phone (509) 572-8462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250807003810 AL Practitioner - Physician Assistant 5890293054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brookwood Dermatology PCGroup PAC ID 4284523069, 4 clinicians

Practice addresses (Care Compare)

1603 Decatur Hwy
Gardendale, AL 35071-2302
Phone (205) 824-4441

521 Montgomery Hwy
Suite 117
Vestavia Hills, AL 35216-1876
Phone (205) 824-4441

70 Plaza Dr
Pell City, AL 35125-9314
Phone (205) 824-4441

Suite
117 521 Montgomery Highway
Birmingham, AL 35216-1876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2557ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Alabama PC CurrentSince Mar 11, 2025 Accepting new patients

Locations

615 1st St N
Alabaster, AL 35007
Phone (205) 624-2100

1603 Decatur Hwy
Gardendale, AL 35071
Phone (205) 285-8298

41 Eminence Way
Ste 110
Pell City, AL 35128

70 Plaza Dr
Pell City, AL 35125
Phone (205) 814-9284

521 Montgomery Hwy
Ste 117
Vestavia Hills, AL 35216
Phone (205) 824-4441

Organizations & group practices 2

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": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1720887375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 SHINE DR",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241513",
            "telephone_number": "509-572-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078892",
            "telephone_number": "205-624-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDKE",
        "first_name": "JORDAN",
        "middle_name": "ELYSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-07",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.