JORDAN JANICE SEEBOLD NPI 1669135968

NPI Details

Jordan Janice Seebold is a medical physician assistant in Charlotte, NC with 5 years of experience. Jordan Janice Seebold NPI is 1669135968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2021

The provider's business location address is:

7800 PROVIDENCE RD STE 209
CHARLOTTE, NC
ZIP 28226-986
Phone: (616) 581-9244

The NPI 1669135968 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), Power Mobility Devices.

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.

• Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
• Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
• Established patient home visit, typically 40 minutes (HCPCS:99349)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• Established patient home visit, typically 25 minutes (HCPCS:99348)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)

The enumeration date for this NPI number is 10/14/2021 and was last updated on 2/26/2025.

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: