Jordan Eatough, PA-C
NPI 1205428232 · Physician Assistant · Provo, UT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Eatough, PA-C is a Physician Assistant provider in Provo, UT (NPI 1205428232).
Provider details
- NPI number
- 1205428232
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4105 Briargate Pkwy Ste 300Colorado Springs, CO 80920-3487Phone: (719) 776-7846
Registry dates
- Enumerated
- 2021-02-10
- Last updated
- 2025-12-11
- Certified
- 2025-12-11
Frequently asked questions
- What is Jordan Eatough's NPI number?
- Jordan Eatough's National Provider Identifier (NPI) is 1205428232, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Eatough's specialty?
- Jordan Eatough is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Eatough located?
- Jordan Eatough's practice location on file with NPPES is 1034 N 500 W, Provo, UT 84604-3380.
- What is Jordan Eatough's phone number?
- The practice phone number listed in the NPPES registry for Jordan Eatough is (801) 357-3367.
- Does Jordan Eatough accept Medicare?
- Jordan Eatough is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Eatough's NPI active?
- Yes — Jordan Eatough's NPI (1205428232) is active in the NPPES registry as of the last update on 2025-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.