Michele Jordan MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208D00000X Issued in AL

Legal business name

MICHELE JORDAN MD PC

Practice address

145 N Chalkville Rd
Trussville, AL 35173-1330

Phone

(205) 661-3737

NPI assigned

Aug 11, 2006

Last updated

Sep 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michele JordanNPI 1982651436

Title

Physician

Phone

(205) 661-3737

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Jordan, M.D

  • General Practice Physician
  • Trussville, AL
  • NPI 1982651436
  Medicare reassignment NPD Authorized official
• Jessica Croft Lawler, FNP-C

  • Family Nurse Practitioner
  • Trussville, AL
  • NPI 1720640808
  Medicare reassignment NPD
• Sherri D Jones, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
  • NPI 1346298411
  NPD (past)
• David Patton, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Woodstock, GA
  • NPI 1013971100
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1710998901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731330",
            "telephone_number": "205-661-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731330",
            "telephone_number": "205-661-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE JORDAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "205-661-3737"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "208D00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916720",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Naomi Virginia McKinney, ALC, NCC
• Hannah Meads, RN IBCLC
• Carol Grace Meehan, LPC
• Michael D Adkins Jr DMD LLC
• Michael D. Adkins Jr DMD, LLC
• Marty Middlebrook
• Christine M Mikolaj, O.D.
• Melanie Lewis Lehr Miller, MD
• Millington & Plagenhoef Dentistry LLC
• Jilisa Renee Milton

• Family Medicine Physician in Trussville, AL
• Providers in Trussville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.