Jordan J Mackey, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9117014 Issued in FL

Practice address

625 6TH Ave S Ste 450
St Petersburg, FL 33701-4629

Phone

(727) 898-2663

NPI assigned

Mar 10, 2023

Last updated

May 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jmackey1281266@direct.hopkinsmedicine.org

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.

• Children's Orthopaedic & Scoliosis Surgery Associates, LLP

  • Pediatric Orthopaedic Surgery Physician
  • St Petersburg, FL
  • NPI 1184609851
  Medicare reassignment

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1962103655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 450",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014629",
            "telephone_number": "727-898-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 6TH AVE S STE 450",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014629",
            "telephone_number": "727-898-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3440 W Dr Martin Luther King Jr Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076223",
            "country_code": "US",
            "telephone_number": "813-879-2663",
            "fax_number": "813-872-0286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8318 Market St",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342025137",
            "country_code": "US",
            "telephone_number": "727-898-2663",
            "fax_number": "727-568-6836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JORDAN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9117014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124250300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joana Silva Machry, M.D.
• Kenneth Vincent Macintosh, MSW
• Latoy Mack
• Jennifer Macke, M.S., CCC
• Alexandria Mackey, MD
• Christine M Mackinnon, PA
• Marcia Ellen Macmath, LMHC
• Jesus Antatico Macrohon
• Christjen Madaffari-Ferreira
• Natalie Anne Madar, ARNP

• Surgical Physician Assistant in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.