Individual provider Active NPI

Jordan Freeland, DO

  • Family Medicine Physician
  • Berkeley Springs, WV
National Provider Identifier
1861075129
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83578 Issued in SC
Practice address
3774 Valley Rd
Berkeley Springs, WV 25411-4614
Phone
(304) 258-9433
Fax
(304) 258-6063
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4439 WV
Family Medicine Physician 207Q00000X 83578 SC Primary

Addresses

Primary practice location

3774 Valley Rd
Berkeley Springs, WV 25411-4614

Mailing address

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

Other practice location 1

155 Academy Ave
Greenwood, SC 29646-3869
Phone (864) 725-4865

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jfreeland523248@selfregional.direct-ci.net
Direct Messaging Address jfreeland1459154@ValleyHealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220622002456 SC Practitioner - Family Practice 4486033404 Reassigns benefits to 2 organizations
I20241016002011 WV Practitioner - Family Practice 4486033404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
War Memorial Hospital, Inc. 27 clinicians

Practice addresses (Care Compare)

1 Healthy Way
Berkeley Springs, WV 25411-7463
Phone (304) 258-6981

3774 Valley Rd
Berkeley Springs, WV 25411-4614
Phone (304) 258-9433

Hospital & facility affiliations

  • Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
  • Valley Health War Memorial Hospital Hospital, Berkeley Springs, WV, CCN 511309
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4439WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Self Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Self Regional Healthcare Partners CurrentSince Jun 1, 2024 Accepting new patients
War Memorial Hospital Inc Current Accepting new patients
Self Regional Healthcare Partners Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
War Memorial Hospital, Inc. CurrentSince Oct 13, 2024 Accepting new patients
War Memorial Hospital, Inc. Family Medicine CurrentSince Oct 13, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
War Memorial Hospital, Inc. Past Accepting new patients

Locations

75 Remittance Dr
Dept 6764
Chicago, IL 60675

300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

220 Campus Blvd
Ste 320
Winchester, VA 22601

3774 Valley Rd
Berkeley Springs, WV 25411
Phone (304) 258-9433

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

Interoperability endpoints

  • Direct secure messaging: jfreeland1459154@valleyhealth.direct-ci.com

Organizations & group practices 10

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 4

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": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1861075129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 ACADEMY AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296463869",
            "telephone_number": "864-725-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3774 VALLEY RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254114614",
            "telephone_number": "304-258-9433",
            "fax_number": "304-258-6063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Academy Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296463869",
            "country_code": "US",
            "telephone_number": "864-725-4865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "JORDAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "4439",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeland523248@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "155 Academy Ave",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296463869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeland1459154@ValleyHealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "3774 Valley Rd",
            "city": "Berkeley Springs",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254114614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berkeley Springs, WV

Sources for this page

Verify at the official NPI Registry.