Individual provider Active NPI

Jennifer Faye Jordan, MD

  • Ophthalmology Physician
  • Goldsboro, NC
National Provider Identifier
1083059497
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2017-01587 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170907001465 NC Practitioner - Ophthalmology 6305087701 Reassigns benefits to 1 organization

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
Waynesborough Ophthalmology, P.a.Group PAC ID 6103961438, 8 clinicians

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 100Reported as group
Quality
95.68
Improvement activities
40
Cost
78.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01587NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waynesborough Ophthalmology, P.a. Ophthalmology CurrentSince Jul 24, 2017 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

  • Direct secure messaging: jenjordan@wbo.emadirect.md
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.