Individual provider Active NPI

Mark Saunders Jordan, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Eden, NC
National Provider Identifier
1902901937
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0095-00627 Issued in NC
Practice address
117 E Kings Hwy
Eden, NC 27288-5201
Phone
(336) 623-9711
Fax
(336) 627-0900
NPI assigned
Sep 14, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0095-00627 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0095-00627 NC Primary

Addresses

Primary practice location

117 E Kings Hwy
Eden, NC 27288-5201

Mailing address

PO Box 767
Eden, NC 27289-0767
Phone (336) 623-9711

Other practice location 1

706 Green Valley Rd Ste 104
Greensboro, NC 27408-7043
Phone (336) 387-2500

Other identifiers 1

IdentifierTypeStateIssuer
89132RCMedicaidNC

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
I20100916000160 NC Practitioner - Pathology 9830231067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greensboro Pathology, LLCGroup PAC ID 1153315643, 18 clinicians

Practice addresses (Care Compare)

706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7043
Phone (336) 387-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0095-00627NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Pathology, LLC Specialist CurrentSince Oct 30, 2017 Accepting new patients
Morehead Memorial Hospital CurrentSince Jul 1, 2011 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Morehead Memorial Hospital Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2011 Accepting new patients
Greensboro Pathology, LLC CurrentSince Oct 30, 2017 Accepting new patients
Biopsy Diagnostics, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

706 Green Valley Rd
Ste 104
Greensboro, NC 27408
Phone (336) 271-4930

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Organizations & group practices 8

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.

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1902901937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272890767",
            "telephone_number": "336-623-9711",
            "fax_number": "336-627-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E KINGS HWY",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885201",
            "telephone_number": "336-623-9711",
            "fax_number": "336-627-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Green Valley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087043",
            "country_code": "US",
            "telephone_number": "336-387-2500",
            "fax_number": "336-387-2501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARK",
        "middle_name": "SAUNDERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "0095-00627",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "0095-00627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89132RC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden, NC

Sources for this page

Verify at the official NPI Registry.