| Jordan & Associates Gastroenterology, Pa | |
|
649 Guy Rd Ste 200 Clayton NC 27520-4224 | |
| (919) 938-4404 | |
| (919) 938-3055 |
| Full Name | Jordan & Associates Gastroenterology, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 649 Guy Rd Ste 200, Clayton, North Carolina |
| Authorized Official Name and Position | Sherwood Southerland (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9199384404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan & Associates Gastroenterology, Pa 649 Guy Rd Ste 200 Clayton NC 27520-4224 Ph: (919) 938-4404 | Jordan & Associates Gastroenterology, Pa 649 Guy Rd Ste 200 Clayton NC 27520-4224 Ph: (919) 938-4404 |
| NPI Number | 1982662896 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 03/03/2023 |
| Medicare PECOS PAC ID | 2163434325 |
|---|---|
| Medicare Enrollment ID | O20060707000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982662896 | NPI | - | NPPES |
| 891324U | Medicaid | NC | |
| 1324U | Other | NC | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 200000842 (North Carolina) | Primary |
| Provider Name | Christopher Page Jordan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194791988 PECOS PAC ID: 7517979776 Enrollment ID: I20110120000226 |
| Provider Name | Caroline Renea Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770344608 PECOS PAC ID: 3678919719 Enrollment ID: I20240311003481 |
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Clayton Medical Associates P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Guy Rd, Clayton, NC 27520 Phone: 919-553-3900 Fax: 919-553-0395 | |
Fastmed Holdings, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11491 Us Highway 70, West, Suite B, Clayton, NC 27520 Phone: 919-550-2584 Fax: 919-550-7059 | |
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