Individual provider Active NPI

Jessica Campbell Copland, MD

  • Family Medicine Physician
  • Charlotte, NC
National Provider Identifier
1083743546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
127747 Issued in NC
Practice address
5516 Central Ave
Charlotte, NC 28212-2708
Phone
(704) 446-7700
Fax
(704) 446-7795
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 127747 NC Primary

Addresses

Primary practice location

5516 Central Ave
Charlotte, NC 28212-2708

Mailing address

5516 Central Ave
Charlotte, NC 28212-2708
Phone (704) 446-7700

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
I20080721000635 NC Practitioner - Family Practice 5395818546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

2630 Willard Dairy Rd
Suite 200
High Point, NC 27265-8351
Phone (336) 884-3800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127747NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 5, 2010 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Apr 5, 2017 Accepting new patients
Moses Cone Medical Services, Inc. Family Medicine CurrentSince Apr 5, 2017 Accepting new patients
Moses Cone Physician Services, Inc Family Medicine CurrentSince Dec 5, 2010 Accepting new patients

Locations

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

102 Pomona Dr
Greensboro, NC 27407
Phone (336) 299-0000

2630 Willard Dairy Rd
#200
High Point, NC 27265
Phone (336) 884-3800

2630 Willard Dairy Rd
Ste 200
High Point, NC 27265
Phone (336) 884-3800

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 5

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 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083743546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282122708",
            "telephone_number": "704-446-7700",
            "fax_number": "704-446-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5516 CENTRAL AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282122708",
            "telephone_number": "704-446-7700",
            "fax_number": "704-446-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLAND",
        "first_name": "JESSICA",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "127747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.