Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jesse James Ray Jordan, PA-C

Individual provider Medical Physician Assistant · NPI 1699497008

Jesse James Ray Jordan, PA-C is a Physician Assistant in Greensboro, North Carolina. Qualified in 2022, 4 years ago. Practices with Southeastern Orthopaedic Specialists PA, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2718 Henry St
Greensboro, NC 27405-3633
Phone: (336) 375-1007
Fax: (336) 375-9615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 223 W Ward St Ste 100, Asheboro, NC 27203-5423 — (336) 333-6443
  • 1915 Lendew St, Greensboro, NC 27408-7033 — (336) 275-3325

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12632 (NC)
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-12632 (NC)

Record details

NPI number1699497008
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Southeastern Orthopaedic Specialists Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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