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

Jordan Christopher Callais

Individual provider Physician Assistant · NPI 1558125179

Jordan Christopher Callais is a Physician Assistant in Supply, North Carolina. Qualified in 2025, 1 year ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Licensed in
NC
In the registry since
2024
Specialties on file
2

Practice location Address checks out

6 Doctors Cir Ste 5
Supply, NC 28462-6358
Phone: (910) 721-4370
Fax: (910) 721-4379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 149 Ralph Williams Rd, Prosperity, SC 29127-9015 — (803) 800-8124

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15756 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558125179
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing addressPo Box 60447, Charlotte, NC 28260-0447

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Supply