MEDICARE: JORDAN & JORDAN HEALTHCARE AND MANAGEMENT SOLUTIONS CO PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1619800158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORDAN & JORDAN HEALTHCARE AND MANAGEMENT SOLUTIONS CO PLLC

Provider Business Mailing Address
First Line	:	6898 S STAFF RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28306-2515
Country	:	US
Telephone Number	:	787-616-6091
Fax Number	:

Provider Business Practice Location Address
First Line	:	1625 MEDICAL CENTER PT STE 215
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-5798
Country	:	US
Telephone Number	:	318-294-7667
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALEB LEE JORDAN
Credential	:	MD
Telephone Number	:	318-294-7667

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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