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

Individual provider Athletic Trainer · NPI 1730583220

Kristen Moore Jordan, PA-C, LAT, ATC is a Physician Assistant in New Bern, North Carolina. Qualified in 2019, 7 years ago. Practices with Carolinaeast Physicians, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

738 Newman Rd
New Bern, NC 28562-5238
Phone: (252) 634-2676
Fax: (252) 637-4479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 Williamsburg Pkwy, Jacksonville, NC 28546-6856 — (910) 353-4500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09015 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence 1989 (NC)

Record details

NPI number1730583220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , LAT , ATC
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carolinaeast Physicians — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in New Bern