Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jordan Wesley Tinnell, PA-C

Individual provider Physician Assistant · NPI 1629522925

Mr. Jordan Wesley Tinnell, PA-C is a Physician Assistant in Louisville, Kentucky. Qualified in 2016, 10 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
10
Licensed in
IN, KY
In the registry since
2016
Specialties on file
12
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

4130 Dutchmans Ln Ste 300
Louisville, KY 40207-4713
Phone: (502) 897-1794
Fax: (502) 238-1286
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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 PA2174 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 99077113A (IN)
Physician Assistant Taxonomy 363A00000X · Licence TC492 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 10002178A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 99077113A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence TC492 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2174 (KY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10002178A (IN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2174 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 99077113A (IN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence TC492 (KY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10002178A (IN)

Record details

NPI number1629522925
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 4, 2016
Last updated in NPPESDecember 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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