Jordan Whitson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2340 Fairview Blvd Ste 100
Fairview, TN 37062-9458

Phone

(629) 205-3018

Fax

(615) 570-4190

NPI assigned

Nov 21, 2024

Sex

Male

Sole proprietor

Yes

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 TN

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dickson Medical Associates, PCGroup PAC ID 3971408774, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/

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.

• Dickson Medical Associates PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1568464873
  Medicare reassignment Care Compare group NPD
• Dickson Medical Associates, PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1881834687
  NPD
• Dickson Medical Associates, PC

  • Family Medicine Physician
  • Dickson, TN
  • NPI 1972606218
  NPD
• Statcare Outpatient, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1134653892

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1780409912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR STE 209",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552856",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 FAIRVIEW BLVD STE 100",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370629458",
            "telephone_number": "629-205-3018",
            "fax_number": "615-570-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vibe Dental of Fairview
• Wal-Mart Stores East LP
• Joseph Welch, M.DIV., MMFT
• Denise G Werner, M.D.
• Jaclynn Whiting, DPT
• Lara Ann Williams, RN, BSN, IBCLC
• Randle S Williams, D.PH.
• Christina M Wilson, FNP
• Julie Wilson, NP
• Bethany Elise Winfield, MA

• Physician Assistant in Fairview, TN
• Providers in Fairview, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.