Jordan Licata, DO
NPI 1952795106 · Otolaryngology Physician · Tullahoma, TN
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan Licata, DO is a Otolaryngology Physician provider in Tullahoma, TN (NPI 1952795106).
Provider details
- NPI number
- 1952795106
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 05799 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
11 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,834 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 1011 S Main StHopkinsville, KY 42240-2009Phone: (270) 881-1525Fax: (270) 886-3802
Registry dates
- Enumerated
- 2015-03-26
- Last updated
- 2024-12-12
- Certified
- 2024-12-12
Frequently asked questions
- What is Jordan Licata's NPI number?
- Jordan Licata's National Provider Identifier (NPI) is 1952795106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Licata's specialty?
- Jordan Licata is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Licata located?
- Jordan Licata's practice location on file with NPPES is 1821 N Washington St, Tullahoma, TN 37388-2221.
- What is Jordan Licata's phone number?
- The practice phone number listed in the NPPES registry for Jordan Licata is (931) 461-5056.
- Does Jordan Licata accept Medicare?
- Jordan Licata is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jordan Licata's NPI active?
- Yes — Jordan Licata's NPI (1952795106) is active in the NPPES registry as of the last update on 2024-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.