Active NPI
Jordan Paige Harrison, DO
- Family Medicine Physician
- Forrest City, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-20061
- Practice address
- 904 Holiday Dr Ste 404
Forrest City, AR 72335-9157 - Phone
- (870) 261-0620
- Fax
- (870) 218-2115
- NPI assigned
- Mar 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-20061 | AR | Primary |
| Family Medicine Physician | 207Q00000X | 5724 | TN | |
| Obstetrics Physician | 207VX0000X | 5724 | TN | |
| Obstetrics Physician | 207VX0000X | E-20061 | AR | |
| Family Medicine Physician | 207Q00000X | DO.3402 | AL |
Addresses
Primary practice location
904 Holiday Dr Ste 404
Forrest City, AR 72335-9157
Mailing address
904 Holiday Dr Ste 404
Forrest City, AR 72335-9157
Phone (870) 261-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TN, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone (901) 448-0275
904 Holiday Dr
Suite 404
Forrest City, AR 72335-9157
Phone (870) 633-0215
Hospital & facility affiliations
- Forrest City Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.15 of 100
- Quality
- 59.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5724 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gmuc of Springhill LLC | Family Medicine | Current | Accepting new patients |
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
| Ut Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Ut Medical Group, Inc. | Current | Accepting new patients | |
| Gmuc of Citronelle LLC | Family Medicine | Current | Accepting new patients |
| Gmuc of Saraland | Family Medicine | Current | Accepting new patients |
| Forrest City Clinic Company LLC | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Family Medicine | Current | Accepting new patients |
Locations
19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123
2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123
4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123
1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123
7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618
1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000
904 Holiday Dr
Ste 402
Forrest City, AR 72335
Phone (870) 633-6000
904 Holiday Dr
Ste 404
Forrest City, AR 72335
Phone (870) 630-1683
1301 Primacy Pkwy
Memphis, TN 38119
Phone (901) 448-0230
930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650
1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024
Interoperability endpoints
- https://api.platform.athenahealth.com/1607/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Forrest City, AR
- NPI 1821293051
-
- Family Medicine Physician
- Citronelle, AL
- NPI 1164794343
-
- Family Medicine Physician
- Saraland, AL
- NPI 1396161758
-
- Family Medicine Physician
- Mobile, AL
- NPI 1952617508
-
- Family Medicine Physician
- Mobile, AL
- NPI 1801063938
-
- Family Medicine Physician
- Semmes, AL
- NPI 1275848095
-
- Ophthalmology Physician
- Memphis, TN
- NPI 1326919200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Forrest City, AR
- NPI 1811912009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1972180370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 HOLIDAY DR STE 404",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359157",
"telephone_number": "870-261-0620",
"fax_number": "870-218-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 HOLIDAY DR STE 404",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359157",
"telephone_number": "870-261-0620",
"fax_number": "870-218-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "JORDAN",
"middle_name": "PAIGE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-24",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-20061",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "5724",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TN",
"license": "5724",
"primary": false
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "AR",
"license": "E-20061",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "DO.3402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.