Jacqueline Marie Selph, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2019-00922 Issued in NC

Practice address

15 Market Center Dr Ste a
Flat Rock, NC 28731-8529

Phone

(286) 978-1170

Fax

(828) 698-4939

NPI assigned

Apr 16, 2013

Last updated

Jul 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Dermatology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hendersonville Dermatology PLLCGroup PAC ID 3577868108, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pardee Hospital Henderson County Hospital, Hendersonville, NC, CCN 340017

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jselph@drcohen.emadirect.md

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.

• Hendersonville Dermatology, PLLC

  • Dermatology Physician
  • Flat Rock, NC
  • NPI 1770949398
  Medicare reassignment Care Compare group NPD
• Anne Arundel Dermatology, P.a.

  • Dermatology Physician
  • Towson, MD
  • NPI 1013747732
  NPD

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

• Henderson County Hospital Corporation

  dba Margaret R. Pardee Memorial Hospital

  • General Acute Care Hospital
  • Hendersonville, NC
  • NPI 1144247982
  Care Compare affiliation

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1609219039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MARKET CENTER DR STE A",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318529",
            "telephone_number": "828-697-1170",
            "fax_number": "828-698-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MARKET CENTER DR STE A",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287318529",
            "telephone_number": "286-978-1170",
            "fax_number": "828-698-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELPH",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D84894",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2019-00922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "006815480",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "205L8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02346770",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NN9352F459",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carson Mariella Ray, LMFTA
• Ginny M Rockenbaugh, RD
• Jamie Lee Rouse, AGNP-C
• Emily Rogers Sawyer, M.D.
• Lorraine M Schwartz, GNP
• Constance Jones Sewell, M.D.
• William Joseph Shepherd Jr., PHARMD
• Madison Jane Siddall
• Caitlin Holt Siropaides, D.O.
• Casara Cole Slankard, FNP

• Dermatology Physician in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.