Individual provider Active NPI

Jason Scott Jordan, PA-C

  • Physician Assistant
  • Georgetown, TX
National Provider Identifier
1851530976
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA06165 Issued in TX
Practice address
1904 Railroad Ave Ste 100
Georgetown, TX 78626-7718
Phone
(512) 863-4563
Fax
(512) 869-5899
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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 PA06165 TX Primary

Addresses

Primary practice location

1904 Railroad Ave Ste 100
Georgetown, TX 78626-7718

Mailing address

2213 Manada TRL
Cedar Park, TX 78641-2740
Phone (512) 983-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090423000678 TX Practitioner - Physician Assistant 0345398715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. David's Ortho Neuro and Rehab PLLCGroup PAC ID 5799948857, 60 clinicians

Practice addresses (Care Compare)

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1904 Railroad St
Suite 100
Georgetown, TX 78626-7718
Phone (512) 863-4563

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 943-3000

2300 Round Rock Ave
Suite 201
Round Rock, TX 78681-4026
Phone (512) 341-6612

919 E 32ND St
Austin, TX 78705-2703
Phone (412) 476-7111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotexas, PLLC PastSince Sep 15, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 16-jordan-jason@direct.leadingreach.com
  • Direct secure messaging: jason.jordan@hca8.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1851530976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 MANADA TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786412740",
            "telephone_number": "512-983-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 RAILROAD AVE STE 100",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267718",
            "telephone_number": "512-863-4563",
            "fax_number": "512-869-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.