Michele Jordan, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18368 Issued in AL

Practice address

145 N Chalkville Rd
Trussville, AL 35173-1330

Phone

(205) 661-3737

NPI assigned

May 30, 2006

Last updated

Nov 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: Obstetrics/Gynecology

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Michele Jordan MD PC

  • Family Medicine Physician
  • Trussville, AL
  • NPI 1710998901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1982651436",
    "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": {
        "last_name": "JORDAN",
        "first_name": "MICHELE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "18368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529916720",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "631250657",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendell McRonald Jno-Finn, DPT
• Stephanie N. Johnson-Barnett, O.D.
• Courtney Johnson, MS, RD, LDN
• Retta Paschal Johnson, OTR/L, CHT
• Samuel Jones, PH.D., MFTA
• Josh Headley DMD LLC
• KD Counseling LLC
• Kelly Bowles Counseling
• Kelly Dorr Moates, LMFT, LLC
• Caroline Kidd, MA, ALC, NCC

• General Practice Physician in Trussville, AL
• Providers in Trussville, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.