Individual provider Active NPI

Mark Vernon Jordan, MD

  • Hospitalist Physician
  • Bolivia, NC
National Provider Identifier
1881772309
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2007-01129 Issued in NC
Practice address
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone
(910) 721-2070
Fax
(910) 721-2074
NPI assigned
Nov 1, 2006
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2007-01129 NC
Hospitalist Physician 208M00000X 2007-01129 NC Primary

Addresses

Primary practice location

240 Hospital Dr NE
Bolivia, NC 28422-8346

Mailing address

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Other practice location 1

300 W 27th St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Other practice location 2

12801 W Wyndridge Ct Apt 203
New Berlin, WI 53151-8799
Phone (414) 525-0939

Other practice location 3

601 N Elm St
High Point, NC 27262-4331
Phone (336) 878-6000

Other identifiers 2

IdentifierTypeStateIssuer
14620OtherNCBCBS
5907603MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071115000572 NC Practitioner - HospitalistPractitioner - Internal Medicine 6507954146 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Robeson Hospitalist Group PLLCGroup PAC ID 2567898430, 33 clinicians

Practice addresses (Care Compare)

240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-1330

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-01129NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Hospitalist Group PLLC Hospitalist CurrentSince Jan 1, 2020 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Columbus Regional Health Network Internal Medicine CurrentSince Feb 21, 2022 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
NMG Health Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Southeastern Regional Medical Center Hospitalist CurrentSince Dec 9, 2025 Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Columbus Regional Health Network CurrentSince Feb 21, 2022 Accepting new patients
Scotland Regional Health Network CurrentSince Feb 21, 2022 Accepting new patients
Scotland Regional Health Network Internal Medicine CurrentSince Feb 21, 2022 Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: mjordan@crhn.cernerdirect.com
  • Direct secure messaging: mjordan1621306@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1881772309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 27TH ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583075",
            "telephone_number": "910-671-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HOSPITAL DR NE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228346",
            "telephone_number": "910-721-2070",
            "fax_number": "910-721-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W 27th St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283583075",
            "country_code": "US",
            "telephone_number": "910-671-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12801 W Wyndridge Ct Apt 203",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531518799",
            "country_code": "US",
            "telephone_number": "414-525-0939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 N Elm St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624331",
            "country_code": "US",
            "telephone_number": "336-878-6000",
            "fax_number": "336-716-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARK",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01129",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2007-01129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14620",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907603",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.