Active NPI
Jennifer Faye Jordan, MD
- Ophthalmology Physician
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 2017-01587
- Practice address
- 103 Cox Blvd
Goldsboro, NC 27534-9478 - Phone
- (919) 734-8440
- Fax
- (919) 734-9387
- NPI assigned
- Apr 30, 2013
- Last updated
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 2017-01587 | NC | Primary |
Addresses
Primary practice location
103 Cox Blvd
Goldsboro, NC 27534-9478
Mailing address
103 Cox Blvd
Goldsboro, NC 27534-9478
Phone (919) 734-8440
Other names 1
- Jennifer Faye Williamson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenjordan@wbo.emadirect.md |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Cox Blvd
Goldsboro, NC 27534-9478
Phone (919) 734-8440
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.73 of 100
- Quality
- 95.68
- Improvement activities
- 40
- Cost
- 78.19
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01587 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waynesborough Ophthalmology, P.a. | Ophthalmology | Current | Accepting new patients |
Locations
103 Cox Blvd
Goldsboro, NC 27534
Phone (919) 734-8440
1317 N Brightleaf Blvd
Ste D
Smithfield, NC 27577
Phone (919) 734-8440
Interoperability endpoints
- jenjordan@wbo.emadirect.md
- jwilliamson76356@direct.unc.nchie.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Goldsboro, NC
- NPI 1124083167
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1083059497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 COX BLVD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349478",
"telephone_number": "919-734-8440",
"fax_number": "919-734-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 COX BLVD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275349478",
"telephone_number": "919-734-8440",
"fax_number": "919-734-9387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "JENNIFER",
"middle_name": "FAYE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "2017-01587",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jenjordan@wbo.emadirect.md",
"affiliation": "N",
"address_1": "103 Cox Blvd",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275349478",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WILLIAMSON",
"middle_name": "FAYE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.