BARRY WAYNE JORDAN (M.D.) – Family Medicine Physician, NPI 1962462317

BARRY WAYNE JORDAN (M.D.) is a healthcare provider. based in Evans, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. E-4171 (AR). The NPI Number for BARRY WAYNE JORDAN (M.D.) is 1962462317

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
BARRY WAYNE JORDAN (M.D.)
NPI
1962462317
Phone
(706) 868-3100
Address
1205 TOWN PARK LN
Enumeration Date
27 March 2006
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
7068683100
Graduation Year
2003 (23 years ago)
PAC ID
0547225781
Group Practice PAC ID
7719976521
Professional Enrollment ID
I20060619000003
Address ID
GA308093481EV1205XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,102 FAMILY PRACTICE in GA

Provider Addresses for BARRY WAYNE JORDAN (M.D.)

  • 1205 TOWN PARK LN

    EVANS, GA 308093481

    Phone: (706) 868-3100

    Fax: (706) 228-3125

    Type: Mailing

  • Evans, Box Elder County, Utah, United States

    EVANS, GA 308091547

    Phone: (706) 868-3100

    Type: Mailing

  • 465, North Belair Road, Evans, Columbia County, Georgia, 30809, United States

    SUITE 1B

    EVANS, GA 308093188

    Phone: (706) 868-3100

    Fax: (706) 228-3125

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $179.

Total Amount is formed as General ($179) + Research ($0) + Ownership ($0) = $179.

Last reported payment date: 2024-06-21 • Largest payer in this snapshot: PFIZER INC. ($78).

Total Amount

$179

General + Research + Ownership

Payments

11

Total payment records

General Amount

$179

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-06-19

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
I20060619000003IFamily PracticeGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes539256$0
36415Insertion of needle into vein for collection of blood sample319209$0
83036Hemoglobin a1c level255125$0
80053Blood test, comprehensive group of blood chemicals241211$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count227209$0
View full utilization report →

Insurance plans in this area (ZIP 30809)

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Provider's Procedures

BARRY WAYNE JORDAN (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEGA90670Pneumococcal vaccine for injection into muscle8685

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: 7719976521View full group profile
NameSpecialtyState
Family PracticeGA
Physician AssistantGA
-GA
Physician AssistantGA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

Where can patients find BARRY WAYNE JORDAN (M.D.)'s NPI?
You can confirm BARRY WAYNE JORDAN (M.D.) with NPI 1962462317; it appears in the national provider directory.
Is BARRY WAYNE JORDAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BARRY WAYNE JORDAN (M.D.) work in?
You can think of BARRY WAYNE JORDAN (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BARRY WAYNE JORDAN (M.D.)?
The page summarizes Evans, Georgia for BARRY WAYNE JORDAN (M.D.); expand the address list for detail.
Is BARRY WAYNE JORDAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1962462317. Always confirm identity and privileges with the practice and licensing boards.

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