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

Mr. Jordan Riley Cormack, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1548890247

Mr. Jordan Riley Cormack, PHYSICIANASSISTANT is a Physician Assistant in Knoxville, Tennessee. Qualified in 2019, 7 years ago. Practices with Knoxville Heart Group, Inc, a 21-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2020
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Practice location Address checks out

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone: (865) 541-1111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1548890247
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 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 Knoxville Heart Group, Inc. — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Knoxville