Doctor profile · Federal record
Dr. Jordan Licata, DO
Otolaryngology Physician (CMS: Otolaryngology) · Otolaryngology Physician · Tullahoma, TN
- NPI 1952795106
- Accepts Medicare
- 3 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1821 N Washington St
Tullahoma, TN 373882221
(931) 461-5056
fax (931) 455-4450 - Additional location
-
1011 S Main St
Hopkinsville, KY 422402009
(270) 881-1525
fax (270) 886-3802
Credentials & registration
- NPI registered
- March 2015 — 11 yrs on file
- Profile last updated
- December 12, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 207Y00000X — NUCC code
- State licenses (2)
- Tennessee #5294 · Kentucky #05799
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952795106. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,834
Transactions
15
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 11 | $1,467.11 | |
| Aerin Medical INC. | 2 | $206.65 | |
| Smith+Nephew, INC. | 1 | $116.69 | |
| Integra LifeSciences Corporation | 1 | $43.33 |
By nature of payment
Frequently asked questions
What is Dr. Jordan Licata's medical specialty?
Dr. Jordan Licata practices Otolaryngology Physician in Tullahoma, TN.
Where does Dr. Jordan Licata practice?
Dr. Jordan Licata practices at 1821 N Washington St, Tullahoma, TN 373882221. Office phone: 9314615056.
What is Dr. Jordan Licata's NPI?
Dr. Jordan Licata's National Provider Identifier (NPI) is 1952795106, issued by NPPES.
Does Dr. Jordan Licata accept Medicare assignment?
Yes. Dr. Jordan Licata accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.