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

Jordan J Grooms, PA-C

Individual provider Physician Assistant · NPI 1124704879

Jordan J Grooms, PA-C is a Physician Assistant in Kearney, Nebraska. Qualified in 2024, 2 years ago. Practices with Cambridge Memorial Hospital Inc, a 27-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Licensed in
NE
In the registry since
2023
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

2810 W 35th St Ste 1
Kearney, NE 68845-2909
Phone: (308) 865-2570
Fax: (308) 865-2508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3205 (NE)

Record details

NPI number1124704879
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Cambridge Memorial Hospital Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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