NPIMap

Jordan Logan Simpson, M.D.

Individual provider Active NPI Internal Medicine Physician · Granite Falls, NC

NPI 1942590963 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1942590963
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
2017-02362 (NC)
Practice address
4355 Hickory Blvd Uppr Suite1
Granite Falls, NC 28630-2013
Phone
(828) 757-8251
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 16

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 1

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

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caldwell Memorial Hospital Inc (212 clinicians)

Practice addresses (Care Compare)

30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100

4355 Hickory Blvd
Suite 1
Granite Falls, NC 28630-2014
Phone (828) 757-8251

Hospital & facility affiliations

  • Caldwell Memorial Hospital Hospital · Lenoir, NC · CCN 340041

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20221024002775 NC Practitioner - Internal Medicine 4486020906 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-02362NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Caldwell Memorial Hospital Inc. Current
since Sep 30, 2022		 Accepting new patients
Caldwell Memorial Hospital, Inc Current
since Sep 30, 2022		 Accepting new patients
Caldwell Memorial Hospital, Inc. Internal Medicine Current
since Jun 19, 2025		 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

4355 Hickory Blvd
Ste 1
Granite Falls, NC 28630
Phone (828) 757-8251

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2017-02362 NC Yes

Addresses

Primary practice location

4355 Hickory Blvd Uppr Suite1
Granite Falls, NC 28630-2013

Mailing address

4140 3Rd St NW
Hickory, NC 28601-6901
Phone (239) 410-6968

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2022.

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1942590963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 3RD ST NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016901",
            "telephone_number": "239-410-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD UPPR SUITE1",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286302013",
            "telephone_number": "828-757-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "JORDAN",
        "middle_name": "LOGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2017-02362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

All providers in Granite Falls, NC · Internal Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.