Clodia Jordan Chappell White, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12357 Issued in NC

Practice address

1134 N Road St Ste 9
Elizabeth City, NC 27909-3365

Phone

(252) 331-1100

NPI assigned

Jul 12, 2022

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

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Carolina Cardiovascular, PAGroup PAC ID 8628051026, 8 clinicians

Albemarle Physician Services - Sentara IncGroup PAC ID 8729139852, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Eastern Carolina Cardiovascular, PA

  • Cardiovascular Disease Physician
  • Elizabeth City, NC
  • NPI 1043264724
  Medicare reassignment Care Compare group
• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  NC

  Medicare reassignment Care Compare group
• Albemarle Physician Services - Sentara, Inc

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD

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

• Sentara Albemarle Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1396479762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 9",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-331-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 N ROAD ST STE 9",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093365",
            "telephone_number": "252-331-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL WHITE",
        "first_name": "CLODIA",
        "middle_name": "JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "c.chappell@eccardio.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1134 N Road St Ste 9",
            "city": "Elizabeth City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279093365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Payton Cavallo, RBT
• Tejwant Singh Chandi, MD
• Felicia Chang, M.D.
• Changing Lives Mental Health Foundations NC
• Mary Catherine Chapley, FNP
• Susan L. Chappell, LCSW
• Jiabi Chen, MD
• Chesapeake Hospital Authority
• Hunter Chesson, RBT
• Childrens Physician Group Inc

• Physician Assistant in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.