Alexander Scott Jordan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

335456 Issued in LA

Practice address

2770 3Rd Ave Ste 120
Lake Charles, LA 70601-8994

Phone

(337) 494-4868

Fax

(337) 494-4870

NPI assigned

Apr 25, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

LCMS Surgical Associates of Southwest Lousiana, LLCGroup PAC ID 8820113780, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: ajordan5281491@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LCMS Surgical Associates of Southwest Lousiana, LLC

  • Surgery Physician
  • Lake Charles, LA
  • NPI 1407168032
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1730877010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122342",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122342",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 120",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-4868",
            "fax_number": "337-494-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 3rd Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706010404",
            "country_code": "US",
            "telephone_number": "337-494-4862",
            "fax_number": "337-494-4863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 Oak Park Blvd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018977",
            "country_code": "US",
            "telephone_number": "337-494-6820",
            "fax_number": "337-494-6465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ALEXANDER",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "335456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith R Jones II
• Midette C Jones
• Roy Lee Jones
• Susan A. Jones, MD
• Terrilyn Jones
• Andrew Jordan
• Manley McRae Jordan, MD
• Renee S Jordan, MASTERS IN EDUCATION
• Joseph a Livergood, DC, LLC
• Aleya Joseph

• Physician Assistant in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.