JORDAN PAUL MASON (FNP) – Family Nurse Practitioner, NPI 1194507657

JORDAN PAUL MASON (FNP) is a healthcare provider. based in Augusta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APRN-NP280740 (GA). The NPI Number for JORDAN PAUL MASON (FNP) is 1194507657

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN PAUL MASON (FNP)
NPI
1194507657
Phone
(706) 284-3371
Address
300 RIVER RETREAT CT
Enumeration Date
19 October 2023
Last Update Date
21 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062109990
Graduation Year
2023 (3 years ago)
PAC ID
3971956236
Group Practice PAC ID
7618018698
Professional Enrollment ID
I20240202001054
Address ID
GA308093115EV902XXCTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for JORDAN PAUL MASON (FNP)

  • 300 RIVER RETREAT CT

    AUGUSTA, GA 309074998

    Phone: (706) 284-3371

    Type: Mailing

  • 902 PONDER PLACE CT

    EVANS, GA 308093115

    Phone: (706) 364-3223

    Fax: (706) 364-4918

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 105 Open Payments records for all available years, with a total value of $2,720.

Total Amount is formed as General ($2,720) + Research ($0) + Ownership ($0) = $2,720.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($642).

Total Amount

$2,720

General + Research + Ownership

Payments

105

Total payment records

General Amount

$2,720

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240202001054INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30907)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618018698View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YTN
Physician AssistantTN
-GA
-GA
D E R M A T O L O G YGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for JORDAN PAUL MASON (FNP) in the U.S.?
In the U.S., JORDAN PAUL MASON (FNP) is identified by NPI 1194507657.
Quick check: is JORDAN PAUL MASON (FNP) active?
Public NPPES data shows JORDAN PAUL MASON (FNP) with an active NPI status right now.
What services align with JORDAN PAUL MASON (FNP)'s listing?
JORDAN PAUL MASON (FNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JORDAN PAUL MASON (FNP) tied to Augusta, Georgia?
If you are local to Augusta, Georgia, JORDAN PAUL MASON (FNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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