Messalina Charisse Jordan, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO1305 Issued in AL

Practice address

3520 US Highway 431 Ste 100
Albertville, AL 35950-0082

Phone

(256) 849-0500

Fax

(256) 573-1021

NPI assigned

Apr 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boaz and Albertville Family Care LLCGroup PAC ID 7113329343, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Shepherd'S Cove Hospice Hospice, Albertville, AL, CCN 011513
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23097/brand/1/csg/1/fhir/r4
• Direct secure messaging: messalina.jordan.1@23097.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boaz and Albertville Family Care, LLC

  • Clinic/Center
  • Boaz, AL
  • NPI 1245827203
  Medicare reassignment Care Compare group NPD Authorized official
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• App of Alabama Ed PLLC

  • Emergency Medicine Physician
  • Russellville, AL
  • NPI 1659646040
  Medicare reassignment NPD
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  Medicare reassignment NPD
• Capstone Health Services Foundation PC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1740397751
  Medicare reassignment NPD
• Careplus Family Medical, LLC

  • Family Medicine Physician
  • Albertville, AL
  • NPI 1639503055
  Medicare reassignment NPD
• Children'S Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438

  Family Medicine

  Medicare reassignment NPD
• Palliative and Supportive Care Alliance, Inc

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Albertville, AL
  • NPI 1225457757
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL

  Medicare reassignment NPD
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  AL, Family Medicine

  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Mobile, AL
  • NPI 1073891792
  NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD

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

• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• Hospice of Marshall County, Inc.

  • Community Based Hospice Care Agency
  • Albertville, AL
  • NPI 1194727362
  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1114218039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359570022",
            "telephone_number": "256-849-0500",
            "fax_number": "256-573-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 US HIGHWAY 431 STE 100",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359500082",
            "telephone_number": "256-849-0500",
            "fax_number": "256-573-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MESSALINA",
        "middle_name": "CHARISSE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBME",
            "identifier": "DO1305",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W. Porter II, DMD, LLC
• Linda Michelle Jeffreys, NP
• John Christopher Brewer
• Larry R Johnston, M.D.
• Ashley Suzanne Jones
• Nicolas Joyner, NP
• K -VA -T Food Stores Inc
• Samantha A.H. Kelley, LPC
• Kids Klinic, LLC
• Kimberly'S Homes

• Family Medicine Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.

Verify at the official NPI Registry.