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

Individual provider Physician Assistant · NPI 1780139709

Jordan Gerard Maccoux, PA-C is a Physician Assistant in Holland, Michigan. Qualified in 2016, 10 years ago. Practices with Allendale Family Practice, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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

3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Phone: (616) 935-6320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1780139709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Allendale Family Practice — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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