REVONDA LASHAWN JESSUP D.P.M. NPI 1235346172

NPI Details

Revonda Lashawn Jessup, D.P.M. is a foot and ankle surgery podiatrist in Gastonia, NC with 22 years of experience. Revonda Lashawn Jessup, D.P.M. NPI is 1235346172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

2721 X RAY DR
GASTONIA, NC
ZIP 28054-491
Phone: (704) 874-2255

The NPI 1235346172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 5/17/2007 and was last updated on 1/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.