NPIMap

Individual provider Active NPI

Jordan David Meyers, DPM

  • Podiatrist
  • Raleigh, NC
National Provider Identifier
1982992517
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
604 Issued in NC
Practice address
1418 E. Millbrook Rd
Raleigh, NC 27609-4812
Phone
(919) 850-9111
Fax
(919) 850-2499
NPI assigned
Jul 17, 2011
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 604 NC Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 00381 KY

Addresses

Primary practice location

1418 E. Millbrook Rd
Raleigh, NC 27609-4812

Mailing address

1600 E Gude Dr
Ste 200
Rockville, MD 20850-1496
Phone (919) 850-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20140827002220 NC Practitioner - Podiatry 9830317171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions141
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00381KYMDFoot & Ankle Surgery Podiatrist
604NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Single Specialty CurrentSince Jan 1, 2018 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 1, 2018 Accepting new patients
Affiliates in Podiatry PC Single Specialty PastSince Sep 15, 2025 Accepting new patients
Foot and Ankle Center of Nebraska, P.C. Podiatrist PastSince Nov 1, 2024 Accepting new patients

Locations

1600 E Gude Dr
Ste 200
Rockville, MD 20850

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

1004 Werrington Dr
Ste 300
Holly Springs, NC 27540
Phone (919) 850-9111

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

2605 Blue Ridge Rd
Ste 320
Raleigh, NC 27607
Phone (919) 787-8555

3801 Wake Forest Rd
Raleigh, NC 27609
Phone (623) 522-8491

Interoperability endpoints

  • Direct secure messaging: jmeyers233299@direct.medicine.duke.edu

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 9

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1982992517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR",
            "address_2": "STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501496",
            "telephone_number": "919-850-9111",
            "fax_number": "919-850-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E. MILLBROOK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094812",
            "telephone_number": "919-850-9111",
            "fax_number": "919-850-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JORDAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-17",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "604",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "00381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.