Individual provider Active NPI

Jordan Logan Simpson, M.D.

  • Internal Medicine Physician
  • Granite Falls, NC
National Provider Identifier
1942590963
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2017-02362 Issued in NC
Practice address
4355 Hickory Blvd Uppr Suite1
Granite Falls, NC 28630-2013
Phone
(828) 757-8251
NPI assigned
Apr 11, 2011
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

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

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

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
I20221024002775 NC Practitioner - Internal Medicine 4486020906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5395646970, shared by 13 NPIs, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-02362NCMDInternal Medicine Physician

Practice roles

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

Organizations & group practices 6

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 1

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": "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

Sources for this page

Verify at the official NPI Registry.