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

Jordan Wilson, PA-C

Individual provider Behavioral Neurology & Neuropsychiatry Physician · NPI 1235651720

Jordan Wilson, PA-C is a Physician Assistant in Raynham, Massachusetts. Qualified in 2017, 9 years ago. Practices with Spectrum Neuro Behavioral Care LLC, a 59-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida, Massachusetts and Washington.

Years since qualifying
9
Licensed in
FL, MA, WA
In the registry since
2017
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 New State Hwy
Raynham, MA 02767-5423
Phone: (781) 666-2711
Fax: (781) 666-2712
Show map & directions

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

Additional practice locations (2)

  • 3469 N Dixie Hwy, Oakland Park, FL 33334-2872 — (305) 912-4323
  • 2428 W Reynolds Ave, Centralia, WA 98531 — (360) 330-9044

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA101388 (MA)
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X · Licence 9110440 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA60855409 (WA)

Record details

NPI number1235651720
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2017
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Spectrum Neuro Behavioral Care Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services