Jordan Richardson Zendel, PA-C
Individual provider Active NPI Physician Assistant · Rural Hall, NC
NPI 1588083448 · NPPES record last updated Oct 25, 2020
Key facts
- NPI
- 1588083448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-04937 (NC)
- Practice address
- 290 W Wall St
Rural Hall, NC 27045-9308 - Phone
- (336) 969-9158
- Fax
- (336) 969-4554
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
290 W Wall St
Rural Hall, NC 27045-9308
Phone (336) 969-9158
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140807002315 | NC | Practitioner - Physician Assistant | 9739306127 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Rock Internal Medicine | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| NH Digital Health Services, LLC | Current |
Accepting new patients | |
| NH Digital Health Services, LLC | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
104 W Medical Park Dr
Lexington, NC 27292
Phone (336) 224-0931
290 W Wall St
Rural Hall, NC 27045
Phone (336) 969-1185
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2085 Frontis Plaza Blvd
Winston Salem, NC 27103
Phone (336) 277-7226
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04937 | NC | Yes |
Addresses
Primary practice location
290 W Wall St
Rural Hall, NC 27045-9308
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other names
- Jordan Elizabeth Richardson
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrichardson297377@direct.novanthealth.org |
Other providers in Rural Hall, NC
All providers in Rural Hall, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.