Individual provider Active NPI

Jodi Balderrama

  • Family Medicine Physician
  • Sylva, NC
National Provider Identifier
1407490600
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5012600 Issued in NC
Practice address
98 Cope Creek Rd
Sylva, NC 28779-9508
Phone
(706) 982-9641
NPI assigned
Oct 30, 2019
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5012600 NC Primary
Internal Medicine Physician 207R00000X 5012600 NC

Addresses

Primary practice location

98 Cope Creek Rd
Sylva, NC 28779-9508

Mailing address

106 Frogtown Lane
Franklin, NC 28734
Phone (828) 369-0359

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200331003515 NC Practitioner - Nurse Practitioner 0143654780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Frogtown LN
Franklin, NC 28734-2097
Phone (828) 369-0359

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WNC Internal Medicine, PLLC Single Specialty CurrentSince Feb 4, 2020 Accepting new patients
Mountain Convenient Care Single Specialty CurrentSince Apr 30, 2025 Accepting new patients
Only One Hub Single Specialty PastSince Feb 4, 2020 Accepting new patients

Locations

153 Heritage Hollow Dr
Franklin, NC 28734

63 Healthcare Dr
Sylva, NC 28779
Phone (828) 586-7796

98 Cope Creek Rd
Sylva, NC 28779
Phone (828) 399-0134

98 Cope Creek Rd
Ste Ab
Sylva, NC 28779
Phone (828) 586-7798

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19372/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEEHDD/Endpoint/DEEHDD

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1407490600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FROGTOWN LANE",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-369-0359",
            "fax_number": "877-673-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 COPE CREEK RD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287799508",
            "telephone_number": "706-982-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERRAMA",
        "first_name": "JODI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5012600",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "5012600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.