Waynesborough Ophthalmology, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25961 Issued in NC

Legal business name

WAYNESBOROUGH OPHTHALMOLOGY, P.A.

Practice address

103 Cox Blvd
Goldsboro, NC 27534-9478

Phone

(919) 734-8440

Fax

(919) 734-9387

NPI assigned

Apr 20, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Faye Jordan, MDNPI 1083059497

Title

President

Phone

(919) 734-8440

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Faye Jordan, MD

  • Ophthalmology Physician
  • Goldsboro, NC
  • NPI 1083059497
  Medicare reassignment Care Compare group NPD Authorized official
• David A Chesnutt, MD

  • Ophthalmology Physician
  • Goldsboro, NC
  • NPI 1538171061
  Medicare reassignment Care Compare group NPD
• Tate Grant Saurey, MD

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1932661162
  Medicare reassignment Care Compare group NPD
• James William Cleary, PA-C

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1871006775
  Medicare reassignment Care Compare group
• Rebecca Auston Croom, PA

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1699411561
  Medicare reassignment Care Compare group
• Rebecca M Lancaster, P.A.

  • Medical Physician Assistant
  • Kenly, NC
  • NPI 1548222755
  Medicare reassignment Care Compare group
• Allison Rose Radford, PA-C

  • Medical Physician Assistant
  • Goldsboro, NC
  • NPI 1366809642
  Medicare reassignment Care Compare group
• Anna Ingram Tucker, PA-C

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1477141562
  Medicare reassignment Care Compare group
• Bryce Mann Dechamplain, MD

  • Ophthalmology Physician
  • Chapel Hill, NC
  • NPI 1962140889
  NPD (past)
• Robert Grier Harding, OD

  • Optometrist
  • Goldsboro, NC
  • NPI 1609860261
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1124083167",
    "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": {
        "organization_name": "WAYNESBOROUGH OPHTHALMOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-734-8440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1019",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "25961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890287A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "0287A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne Radiologists, P.a.
• Wayne Urological Associates PA
• Wayne Women'S Clinic
• Wayne Womens Clinic PA
• Waynesboro Family Clinic
• Waynesborough Psychological Services
• We Care of Goldsboro,Inc
• Melissa Hinson Weaver
• Hannah McKinney Webb, DMD
• Crystal L Weeks, M.ED., CCC-SLP

• Ophthalmology Physician in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.