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

Samuel Jordan

Individual provider Physician Assistant · NPI 1447788716

Samuel Jordan is a Physician Assistant in Lexington, North Carolina. Qualified in 2017, 9 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

250 Hospital Dr
Lexington, NC 27292-6792
Phone: (336) 248-5161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 250 Hospital Dr, Lexington, NC 27292-6792 — (336) 248-5161

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447788716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 31, 2017
Last updated in NPPESMarch 17, 2018

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 Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lexington