NPIMap

Individual provider Active NPI

Paul Jorgen Nordness, M.D.

  • Surgery Physician
  • Gadsden, AL
National Provider Identifier
1760456941
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD.33742 Issued in AL
Practice address
419 S 5TH St
Gadsden, AL 35901-5101
Phone
(256) 547-6331
Fax
(256) 547-1711
NPI assigned
Feb 15, 2006
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD.33742 AL Primary

Addresses

Primary practice location

419 S 5TH St
Gadsden, AL 35901-5101

Mailing address

419 S 5TH St
Gadsden, AL 35901-5101
Phone (256) 547-6331

Other identifiers 2

IdentifierTypeStateIssuer
000207838MedicaidAL
5122074OtherALBLUE CROSS BLUE SHIELD OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180509000494 AL Practitioner - General Surgery 8729044797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Vanderbilt University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgery Clinic, LLCGroup PAC ID 8426230095, 3 clinicians

Practice addresses (Care Compare)

419 S 5TH St
Gadsden, AL 35901-5101
Phone (256) 547-6331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux59
Melanoma (skin cancer) excision1-10
Removal of tissue17
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45317TNMDPharmacist
MD.33742ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Clinic, LLC Surgery CurrentSince Jan 1, 2018 Accepting new patients
Surgical Specialist Etowah County LLC Surgery Current Accepting new patients
Surgery Clinic, LLC Surgery CurrentSince Jan 1, 2018 Accepting new patients
Village Surgical Associates PA Past Accepting new patients

Locations

419 S 5th St
Gadsden, AL 35901
Phone (205) 547-6331

1622 Church Ave SE
Jacksonville, AL 36265
Phone (256) 365-2792

Organizations & group practices 4

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1760456941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015101",
            "telephone_number": "256-547-6331",
            "fax_number": "256-547-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015101",
            "telephone_number": "256-547-6331",
            "fax_number": "256-547-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDNESS",
        "first_name": "PAUL",
        "middle_name": "JORGEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "MD.33742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000207838",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "5122074",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.