Individual provider Active NPI

Jordan Pounds, PA-C

  • Physician Assistant
  • Rome, GA
National Provider Identifier
1902622442
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
475 Turner McCall Blvd NE
Rome, GA 30165-2735
Phone
(706) 368-8894
Fax
(706) 368-8894
NPI assigned
Nov 30, 2024
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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 NU Primary

Addresses

Primary practice location

475 Turner McCall Blvd NE
Rome, GA 30165-2735

Mailing address

475 Turner McCall Blvd NE
Rome, GA 30165-2735
Phone (706) 368-8894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260514002197 GA Practitioner - Physician Assistant 5991274359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

328 E Main St
Suite 101, GA 30120-3278
Phone (706) 368-8890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Plus of Georgia Physician Assistant CurrentSince Aug 1, 2026 Accepting new patients

Locations

328 E Main St
Ste 101
Cartersville, GA 30120
Phone (706) 368-8890

475 Turner McCall Blvd NE
Rome, GA 30165

475 Turner McCall Blvd NE
Unit B67
Rome, GA 30165
Phone (706) 368-8894

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1902622442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 TURNER MCCALL BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652735",
            "telephone_number": "706-368-8894",
            "fax_number": "706-368-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 TURNER MCCALL BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652735",
            "telephone_number": "706-368-8894",
            "fax_number": "706-368-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDS",
        "first_name": "JORDAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.