Beverly F Jordan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00025496 Issued in AL

Practice address

101 E Brunson St
Suite 200
Enterprise, AL 36330-2526

Phone

(334) 393-3686

Fax

(334) 347-4906

NPI assigned

Apr 18, 2006

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 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

University of Alabama School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Medical Associates PCGroup PAC ID 3375574106, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Enterprise, AL, CCN 017013
• Enhabit Home Health Home health agency, Dothan, AL, CCN 017053
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Dale Medical Center Hospital, Ozark, AL, CCN 010021
• Flowers Hospital Hospital, Dothan, AL, CCN 010055

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bjordan@pma.gwaydirect.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.

• Professional Medical Associates PC

  • Internal Medicine Physician
  • Enterprise, AL
  • NPI 1063476836
  Medicare reassignment Care Compare group NPD
• Aledade Care Solutions of Delaware, LLC

  • Internal Medicine Physician
  • Wilmington, DE
  • NPI 1801535703

  AL

  Medicare reassignment
• Andrews Sports Medicine and Orthopaedic Center

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Birmingham, AL
  • NPI 1679617526
  NPD (past)
• Alabama Sports Medicine and Ortho Center

  • Orthopaedic Surgery Physician
  • Bham, AZ
  • NPI 1487629101
  NPD (past)

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

• Caresouth HHA Holdings of Dothan, LLC

  • Home Health Agency
  • Dothan, AL
  • NPI 1770561268
  Care Compare affiliation
• Dale Medical Center

  • General Acute Care Hospital
  • Ozark, AL
  • NPI 1942380357
  Care Compare affiliation
• Mid-South Home Health Agency, LLC

  • Home Health Agency
  • Enterprise, AL
  • NPI 1174552939
  Care Compare affiliation
• QHG of Enterprise Inc

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• Triad of Alabama LLC

  • General Acute Care Hospital
  • Dothan, AL
  • NPI 1801830500
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1205891702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-393-3686",
            "fax_number": "334-347-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BRUNSON ST",
            "address_2": "SUITE 200",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302526",
            "telephone_number": "334-393-3686",
            "fax_number": "334-347-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BEVERLY",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00025496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solange Perez Johnson, DDS
• Richard Johnston, DPT
• Andrea Jones, MS, RDN, LDN
• Jamie Bludsworth Jones, D.O.
• Tyler Burkett Jones, PA-C
• Lawrence C Katz, PH. D.
• Madison Paige Kelley, MAT, LAT, ATC
• Anabeth Gilley Kendrick, M.S., CCC-SLP
• Amy B Kennedy, AUDIOLOGIST
• Kenneth W Chancey DMD LLC

• Family Medicine Physician in Enterprise, AL
• Providers in Enterprise, 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 Nov 20, 2009; 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.