Individual provider Active NPI

Jordan Michael Chaisson, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Mobile, AL
National Provider Identifier
1871869990
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
PENDING Issued in AL
Practice address
6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone
(251) 607-9797
NPI assigned
Mar 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X PENDING AL
Clinical Cardiac Electrophysiology Physician 207RC0001X PENDING AL Primary

Addresses

Primary practice location

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200410000579 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 1850540782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Louisiana State University School of Medicine in New Orleans, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Associates of Mobile IncGroup PAC ID 5496640229, 53 clinicians

Practice addresses (Care Compare)

188 Hospital Dr
Suite 100
Fairhope, AL 36532-2038
Phone (251) 990-9500

Hospital & facility affiliations

  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Cardiology Associates of Mobile Inc Cardiovascular Disease CurrentSince May 1, 2020 Accepting new patients

Locations

188 Hospital Dr
Ste 100
Fairhope, AL 36532
Phone (251) 607-9797

1721 N McKenzie St
Foley, AL 36535
Phone (251) 607-9797

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: jordanchaisson@cam.allscriptsdirect.net

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": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1871869990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISSON",
        "first_name": "JORDAN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.