Organization Active NPI

Jordan & Associates Gastroenterology PA

  • Gastroenterology Physician
  • Clayton, NC
National Provider Identifier
1982662896
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200000842 Issued in NC
Legal business name
JORDAN & ASSOCIATES GASTROENTEROLOGY PA
Doing business as
Jordan & Associates Gastroenterology PA
Practice address
649 Guy Rd Ste 200
Clayton, NC 27520-4224
Phone
(919) 938-4404
Fax
(919) 938-3055
NPI assigned
May 2, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Christopher Page Jordan, MDNPI 1194791988
Title
Medical Director
Phone
(919) 938-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200000842 NC Primary

Addresses

Primary practice location

649 Guy Rd Ste 200
Clayton, NC 27520-4224

Mailing address

649 Guy Rd Ste 200
Clayton, NC 27520-4224
Phone (919) 938-4404

Other identifiers 2

IdentifierTypeStateIssuer
1324UOtherNCBLUE CROSS BLUE SHIELD
891324UMedicaidNC

Other names 1

  • Jordan & Associates Gastroenterology PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000173 NC Part B Supplier - Clinic/Group Practice 2163434325 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, NC

National Provider Directory

National Provider Directory

Locations

649 Guy Rd
Ste 200
Clayton, NC 27520
Phone (919) 938-4044

415 N 7th St
Ste C
Smithfield, NC 27577

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1982662896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 GUY RD STE 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204224",
            "telephone_number": "919-938-4404",
            "fax_number": "919-938-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 GUY RD STE 200",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204224",
            "telephone_number": "919-938-4404",
            "fax_number": "919-938-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN & ASSOCIATES GASTROENTEROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "919-938-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200000842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1324U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891324U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan & Associates Gastroenterology PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.