Jordan Fain

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140564 Issued in AL

Practice address

400 Taylor Rd
Montgomery, AL 36117-3512

Phone

(334) 213-6255

NPI assigned

Aug 19, 2018

Last updated

Aug 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Southern Orthopaedic Surgeons LLCGroup PAC ID 9335166685, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
• Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

Practice roles

Locations

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.

• Southern Orthopaedic Surgeons, LLC

  • Orthopaedic Surgery Physician
  • Montgomery, AL
  • NPI 1861432239
  Medicare reassignment Care Compare group NPD
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Primary Medicine Associates

  • Family Medicine Physician
  • Montgomery, AL
  • NPI 1982653390
  Medicare reassignment NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD
• Mobile Wound Care Solutions LLC

  • Specialist
  • Cincinnati, OH
  • NPI 1548070014

  AL

  Medicare reassignment NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Health Care Partners

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1033534524
  NPD
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Montgomery Cardiovascular Associates

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1427822279
  NPD
• Southern Orthopaedic Surgeons, LLC

  • Durable Medical Equipment & Medical Supplies
  • Montgomery, AL
  • NPI 1669266599
  NPD
• The Health Care Authority for Baptist Health

  dba Baptist Medical Center South - Wound Care

  • Clinic/Center
  • Montgomery, AL
  • NPI 1538347067
  NPD (past)
• The Health Care Authority for Baptist Health

  dba Alabama Oncology Hematology Associates

  • Hematology & Oncology Physician
  • Montgomery, AL
  • NPI 1972749398
  NPD (past)

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

• Health Care Authority for Baptist Health an Affiliate of Uabhs

  dba Baptist Medical Center East

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1104917780
  Care Compare affiliation
• Health Care Authority for Baptist Health, an Affiliate of Uabhs

  dba Baptist Medical Center South

  • General Acute Care Hospital
  • Montgomery, AL
  • NPI 1700977105
  Care Compare affiliation

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

{
    "created_epoch": "1534636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1912487901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 DEBBIE DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TAYLOR RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173512",
            "telephone_number": "334-213-6255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 E South Blvd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162409",
            "country_code": "US",
            "telephone_number": "334-213-6255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360673619",
            "country_code": "US",
            "telephone_number": "334-213-6255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIN",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-19",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express, LTD.
• Oluwatoyin Fadare
• Leigh Anne Fagin, LICSW
• Kendra Fails
• Kimyatta Greathouse Fails, LPC,NCC,CAC
• Maranda Jaran Fain, CRNP
• Tiffany Fair
• Faith and Grace Hospice, Inc.
• Faith in Action Community Services, Inc
• Hiluah Falconer

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.