Charlotte Denise Jordan, MSN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R870743 Issued in MS

Practice address

6051 U S Highway 49
Hattiesburg, MS 39401

Phone

(601) 450-0310

Fax

(601) 450-0321

NPI assigned

Jul 8, 2019

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Charlotte Denise Jordan Professional name

Medicare fee-for-service enrollment

Enrolled in MS

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Mississippi Rural Health Initiative, Inc.Group PAC ID 2466342605, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adoration Home Health Home health agency, Collins, MS, CCN 257087

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cjordan146364@directpatientrecord.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.

• Sumrall Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Sumrall, MS
  • NPI 1184694036
  Medicare reassignment Care Compare group NPD
• Family Health Center, Inc

  • Clinic/Center
  • Laurel, MS
  • NPI 1760488357
  Medicare reassignment NPD
• Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ellisville, MS
  • NPI 1083255087
  NPD
• Hattiesburg Community Dental Center

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1366468266
  NPD
• Minor Care Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1508874769
  NPD
• Beaumont Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Beaumont, MS
  • NPI 1831166826
  NPD (past)
• Brooklyn Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, MS
  • NPI 1659348076
  NPD (past)
• Hattiesburg High School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1760451777
  NPD (past)
• Hattiesburg Public School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1023087400
  NPD (past)
• Lamar County School Clinic

  • Federally Qualified Health Center (FQHC)
  • Purvis, MS
  • NPI 1679147847
  NPD (past)
• Lumberton Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lumberton, MS
  • NPI 1164499174
  NPD (past)
• N R Burger School and Community Clinic

  • Federally Qualified Health Center (FQHC)
  • Hattiesburg, MS
  • NPI 1518907054
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Mississippi, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Collins, MS
  • NPI 1467400168
  Care Compare affiliation

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821650045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S 11TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404312",
            "telephone_number": "601-425-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39401",
            "telephone_number": "601-450-0310",
            "fax_number": "601-450-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHARLOTTE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "JORDAN",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Jones, PA-C
• Tia Tikish Jones
• Tiffani N Jones, CMHT
• Tniniyah Jones
• Zachary James Jones, ATC
• Eric Jordan, MD
• Kelly Ford Jordan, DPT
• Marti Lianne Jordan, PHD, NP
• Tammara Ann Jordan, M.S.,CCC-SLP
• Joseph Salloum, M.D. LLC

• Family Nurse Practitioner in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.