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

Jordan Dale Whitaker, PA

Individual provider Physician Assistant · NPI 1659922250

Jordan Dale Whitaker, PA is a Physician Assistant in Mount Vernon, Kentucky. Graduated from Lincoln Memorial University Medical Department in 2019, 7 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Trained at
Lincoln Memorial University Medical Department
Licensed in
KY
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1770 Lake Cumberland Rd
Mount Vernon, KY 40456-8431
Phone: (606) 256-7488
Fax: (606) 256-8036
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TC870 (KY)

Record details

NPI number1659922250
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2019 (7 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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