Cami U Jordan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101057968 Issued in VA

Practice address

324 Louisa Ave
Ste 118
Virginia Beach, VA 23454-4669

Phone

(757) 333-7797

Fax

(757) 333-7760

NPI assigned

Mar 9, 2006

Last updated

Jul 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peninsula Institute for Community Health Inc

  dba 48th Street Physicians

  • Federally Qualified Health Center (FQHC)
  • Newport News, VA
  • NPI 1508999293
  Medicare reassignment NPD
• Peninsula Institute for Community Health Inc

  dba Chesapeake Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Chesapeake, VA
  • NPI 1073872321
  NPD
• Peninsula Institute for Community Health Inc

  dba Burnetts Way Family Medicine

  • Federally Qualified Health Center (FQHC)
  • Suffolk, VA
  • NPI 1790575116
  NPD
• Peninsula Institute for Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Newport News, VA
  • NPI 1023088077
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1083682645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE",
            "address_2": "STE 118",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-333-7797",
            "fax_number": "757-333-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE",
            "address_2": "STE 118",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-333-7797",
            "fax_number": "757-333-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAMI",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101057968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia L Jones, D.C.
• Yekaterina V Jones
• Jonesin LLC (FirstLightHomeCare Virginia Beach)
• Jordan Young Institute
• Jordan-Young Inst for Joint Reconstruction and Sports Medicine, LLC (Jordan-Young Institute)
• Gerald H Jordan, M.D.
• Joshua J Jordan, LPTA
• Kelsey Jordan
• Lamareiana Jordan
• Louis C Jordan, M.D.

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.