Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jordan Andrew Shealy, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033573464

Dr. Jordan Andrew Shealy, MD is a General Surgery in Wilson, North Carolina. Graduated from Medical University of South Carolina College of Medicine in 2016, 10 years ago. Practices with UNC Physicians Network LLC, a 986-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
10
Trained at
Medical University of South Carolina College of Medicine
Licensed in
NC, TN
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

130 Glendale Dr W
Wilson, NC 27893-2770
Phone: (252) 399-7557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511 — (865) 305-9230

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2021-02023 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TN)

Record details

NPI number1033573464
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2016
Last updated in NPPESAugust 24, 2021
Certification dateAugust 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Unc Physicians Network Llc — 986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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