Individual provider Active NPI

Jordan Nikole Damiano, DO

  • Obstetrics & Gynecology Physician
  • Norfolk, VA
National Provider Identifier
1770111973
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0102208535 Issued in VA
Practice address
880 Kempsville Rd Ste 101
Norfolk, VA 23502-3931
Phone
(757) 455-6479
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0102208535 VA Primary

Addresses

Primary practice location

880 Kempsville Rd Ste 101
Norfolk, VA 23502-3931

Mailing address

880 Kempsville Rd Ste 101
Norfolk, VA 23502-3931
Phone (757) 455-6479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20240909002241 VA Practitioner - Obstetrics/Gynecology 6709200231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Atlantic Womens Care PLCGroup PAC ID 8820998156, 98 clinicians

Practice addresses (Care Compare)

300 Medical Pkwy
Suite 302
Chesapeake, VA 23320-4985
Phone (757) 312-8403

844 Kempsville Rd
Suite 210
Norfolk, VA 23502-3927
Phone (757) 461-6131

Hospital & facility affiliations

  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

Merit-based Incentive Payment System (MIPS)

Final score
85.45 of 100Reported as group
Quality
76.15
Promoting interoperability
100
Improvement activities
40
Cost
75.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102208535VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology CurrentSince Jul 8, 2024 Accepting new patients
Mid-Atlantic Womens Care PLC Obstetrics & Gynecology Past Accepting new patients

Locations

300 Medical Pkwy
Ste 308
Chesapeake, VA 23320
Phone (757) 547-5446

880 Kempsville Rd
Ste 101
Norfolk, VA 23502
Phone (757) 455-6479

844 Kempsville Rd
Ste 208
Norfolk, VA 23502
Phone (757) 461-3890

250 W Brambleton Ave
Ste 202
Norfolk, VA 23510
Phone (757) 965-9363

880 Kempsville Rd
Ste 201
Norfolk, VA 23502
Phone (757) 461-3890

6353 Center Dr
Ste 100
Norfolk, VA 23502
Phone (571) 356-9735

844 Kempsville Rd
Ste 210
Norfolk, VA 23502
Phone (757) 461-6131

Interoperability endpoints

  • Direct secure messaging: jordan.damiano.1@22824.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1770111973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 KEMPSVILLE RD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931",
            "telephone_number": "757-455-6479",
            "fax_number": "757-466-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 KEMPSVILLE RD STE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023931",
            "telephone_number": "757-455-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMIANO",
        "first_name": "JORDAN",
        "middle_name": "NIKOLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0102208535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.