| Sheryl Gillikin Jordan, MD | |
|
1301 Medical Dr, Fayetteville, NC 28304-4425 | |
| (910) 486-5700 | |
| (910) 486-5950 |
| Full Name | Sheryl Gillikin Jordan |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 1301 Medical Dr, Fayetteville, North Carolina |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053314609 | NPI | - | NPPES |
| 8947415 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101282921 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 32320 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Augusta Health | Fishersville, VA | Hospital |
| Southeastern Regional Medical Center | Lumberton, NC | Hospital |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| University Of Virginia Medical Center | Charlottesville, VA | Hospital |
| Sentara Albemarle Medical Center | Elizabeth city, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta Health Care Inc | 1355248212 | 74 |
| Sentara Medical Group | 8921903923 | 1405 |
| Southeastern Regional Medical Center | 7315857141 | 46 |
| Greensboro Radiology, Pa | 8729074901 | 212 |
| Augusta Medical Group | 3678632544 | 420 |
| Entity Name | Sentara Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466 |
| Entity Name | Augusta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
| Entity Name | Augusta Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720717044 PECOS PAC ID: 1355248212 Enrollment ID: O20221229000080 |
| Mailing Address | Practice Location Address |
|---|---|
| Sheryl Gillikin Jordan, MD 1301 Medical Dr, Fayetteville, NC 28304-4425 Ph: (910) 486-5700 | Sheryl Gillikin Jordan, MD 1301 Medical Dr, Fayetteville, NC 28304-4425 Ph: (910) 486-5700 |
James E. Shearer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Gretchen Elizabeth Green, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Irene Vasko, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr Ste 201, Fayetteville, NC 28304 Phone: 910-486-5700 Fax: 910-486-5950 | |
Leroy Roberts Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 | |
Ali Nasim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3186 Village Dr 201, Fayetteville, NC 28304 Phone: 910-486-5700 | |
Dr. Osmani Deochand, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Robeson St, Fayetteville, NC 28301 Phone: 910-615-1860 |