Jordan Matthew Maddra, PA
Physician Assistant in Rockingham, VA. Individual provider (NPI-1).
NPI number1033062500
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1033062500
- Entity type
- Individual (NPI-1)
- Name
- Jordan Matthew Maddra
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 16, 2026
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110011753 | VA | Yes |
Practice location
2006 Health Campus Dr Ste 200Rockingham, VA 22801-8679
Phone 540-689-5600 · Fax 844-305-2339
Mailing address
2006 Health Campus Dr Ste 200Rockingham, VA 22801-8679
Phone 540-689-5600 · Fax 844-305-2339
Other practice locations
2010 Health Campus Dr
Rockingham, VA 22801-8679
Rockingham, VA 22801-8679
Phone 540-689-1000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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