Jordan Callais
NPI 1558125179 · Physician Assistant · Supply, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Callais is a Physician Assistant provider in Supply, NC (NPI 1558125179).
Provider details
- NPI number
- 1558125179
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0010-15756 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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)
- 149 Ralph Williams RdProsperity, SC 29127-9015Phone: (803) 800-8124
Registry dates
- Enumerated
- 2024-02-13
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Jordan Callais's NPI number?
- Jordan Callais's National Provider Identifier (NPI) is 1558125179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Callais's specialty?
- Jordan Callais is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Callais located?
- Jordan Callais's practice location on file with NPPES is 6 Doctors Cir Ste 5, Supply, NC 28462-6358.
- What is Jordan Callais's phone number?
- The practice phone number listed in the NPPES registry for Jordan Callais is (910) 721-4370.
- Does Jordan Callais accept Medicare?
- Jordan Callais is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Callais's NPI active?
- Yes — Jordan Callais's NPI (1558125179) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.