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

Jordan Ivy Winders

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104500156

Jordan Ivy Winders is a Physician Assistant in Hendersonville, Tennessee. Qualified in 2023, 3 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

113 Maple Row Blvd Ste B
Hendersonville, TN 37075-3860
Phone: (615) 265-8776
Show map & directions

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

Additional practice locations (1)

  • 1720 2nd Ave S, Birmingham, AL 35294-0004 — (205) 934-4011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5825 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104500156
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2023
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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