DR. SARAH TISON JORDAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1619139342

DR. SARAH TISON JORDAN (M.D.) is a healthcare provider. based in Granbury, Texas. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. BP1-0031359 (TX). The NPI Number for DR. SARAH TISON JORDAN (M.D.) is 1619139342

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. SARAH TISON JORDAN (M.D.)
NPI
1619139342
Phone
(817) 279-1776
Address
1212 MEDICAL PLAZA CT
Enumeration Date
25 June 2008
Last Update Date
17 June 2013

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
80024338397746
Graduation Year
2008 (18 years ago)
PAC ID
3072754183
Group Practice PAC ID
0042283921
Professional Enrollment ID
I20130731000664
Address ID
TX761044110FO1400XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

3,164 OBSTETRICS/GYNECOLOGY in TX

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Provider Addresses for DR. SARAH TISON JORDAN (M.D.)

  • 1212, Medical Plaza Court, Granbury, Hood County, Texas, 76048, United States

    GRANBURY, TX 760485653

    Phone: (817) 279-1776

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($18).

Total Amount

$20

General + Research + Ownership

Payments

2

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

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: 2013-07-31

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
I20130731000664IObstetrics/GynecologyTXTBD

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 76048)

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Provider's Procedures

DR. SARAH TISON JORDAN (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYTX81002Urinalysis, manual test7256

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: 0042283921View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-NC
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YMN
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

Can I verify DR. SARAH TISON JORDAN (M.D.) with an NPI only?
You can start verification with NPI 1619139342 for DR. SARAH TISON JORDAN (M.D.), then check state licensing separately.
Does the file indicate DR. SARAH TISON JORDAN (M.D.) is practicing under active NPI?
Directory data currently reports DR. SARAH TISON JORDAN (M.D.) as active.
What taxonomy line describes DR. SARAH TISON JORDAN (M.D.)?
For research purposes, treat DR. SARAH TISON JORDAN (M.D.) as Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SARAH TISON JORDAN (M.D.)?
DR. SARAH TISON JORDAN (M.D.)'s geographic hint is Granbury, Texas in our summary view.
Why does DR. SARAH TISON JORDAN (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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