Individual Healthcare Provider
Jordan Wilson, PA-C
Provider's NPPES record last updated: March 12, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235651720
- Primary Specialty
- Physician Assistant
- Practice Location
- Raynham, Massachusetts
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:48 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X Psychiatry & Neurology
Behavioral Neurology & Neuropsychiatry
Allopathic & Osteopathic Physicians
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.
Taxonomy code 2084B0040X
Provider-Reported License Information
- Physician Assistant (Massachusetts)
- PA101388
- Psychiatry & Neurology (Florida)
- 9110440
- Physician Assistant (Washington)
- PA60855409
Practice Locations
Practice Location
100 New State Hwy
Raynham, Massachusetts 02767-5423
Phone: (781) 666-2711
Additional Practice Location
3469 N Dixie Hwy
Oakland Park, Florida 33334-2872
Phone: (305) 912-4323
Additional Practice Location
2428 W Reynolds Ave
Centralia, Washington 98531
Phone: (360) 330-9044
Record Information
- Enumeration Date
- July 17, 2017
- Provider's NPPES Record Last Updated
- March 12, 2025
- Certification Date
- March 12, 2025
- NPISignal NPPES Dataset
- August 2026
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