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

Jordan Rose

Individual provider Physician Assistant · NPI 1396418596

Jordan Rose is a Physician Assistant in Mobile, Alabama. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with South Alabama Family Care, LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
AL
In the registry since
2021
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Practice location Address checks out

4682 Airport Blvd
Mobile, AL 36608-3124
Phone: (251) 455-4702
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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 2141 (AL)

Record details

NPI number1396418596
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 26, 2021
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address106 Golmon Cir, Daphne, AL 36526-7050

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice South Alabama Family Care, Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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