Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jordan J Grooms, PA-C

Physician Assistant in Kearney, NE · enumerated 2023.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124704879

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)

Name Jordan J Grooms

Credential PA-C

Sex Male

Practice address 2810 W 35th St Ste 1, Kearney, NE, 68845

Phone (308) 865-2570

Fax (308) 865-2508

Enumeration date Jun 27, 2023

Last updated in NPPES Jan 31, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 3205 (NE) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jordan Grooms practice?

The practice location on file with NPPES is in Kearney, NE. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jordan Grooms?

The National Provider Identifier (NPI) for Jordan Grooms is 1124704879, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-31.