Individual provider Active NPI

Jordan Emily Reasor, MD

  • Pediatrics Physician
  • Cary, NC
National Provider Identifier
1255994315
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2022-00987 Issued in NC
Practice address
100 Duke Health Cary PL Ste 210
Cary, NC 27519-6760
Phone
(919) 385-4650
NPI assigned
Apr 15, 2019
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2022-00987 NC Primary

Addresses

Primary practice location

100 Duke Health Cary PL Ste 210
Cary, NC 27519-6760

Mailing address

5820 Farrington Rd Apt 304
Chapel Hill, NC 27517-7012
Phone (813) 957-4347

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
I20220722002910 NC Practitioner - Pediatric Medicine 3577897909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 E Dogwood Dr
Mebane, NC 27302-7746
Phone (919) 563-8400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022-00987NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Multi-Specialty Current Accepting new patients
Duke University Affiliated Physicians, Inc. Multi-Specialty CurrentSince Aug 8, 2022 Accepting new patients
Duke Health Integrated Practice, Inc. Multi-Specialty PastSince Jan 14, 2024 Accepting new patients

Locations

100 E Dogwood Dr
Mebane, NC 27302
Phone (919) 563-2896

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

Interoperability endpoints

  • Direct secure messaging: jreason523694@direct.medicine.duke.edu
  • Direct secure messaging: jreasor253724@directhisp.wakemed.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1255994315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 FARRINGTON RD APT 304",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177012",
            "telephone_number": "813-957-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUKE HEALTH CARY PL STE 210",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196760",
            "telephone_number": "919-385-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASOR",
        "first_name": "JORDAN",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2022-00987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.