DR. JORDAN ANDREW SHEALY MD
NPI 1033573464
Surgery in Wilson, NC

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
130 GLENDALE DR W, WILSON, NC 27893(252) 399-7557 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Aug 17, 2021 (2 updates tracked since 2021).

About Dr. Jordan Andrew Shealy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JORDAN ANDREW SHEALY MD (NPI 1033573464) is an individual surgery provider in Wilson, North Carolina, licensed in North Carolina (2021-02023) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Wilson Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1033573464
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JORDAN ANDREW SHEALYCredential: MD
Location Address130 GLENDALE DR WWilson, NC 27893-2770
Mailing Address1924 Alcoa Hwy # U-11Knoxville, TN 37920-1511 · (865) 305-9230 · Fax (865) 305-8894
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1033573464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NC · 2021-02023
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
130 GLENDALE DR W, Wilson, NC 27893

Secondary Practice Location 1

Location 11924 Alcoa Hwy # U-11Knoxville, TN 37920-1511 · Phone (865) 305-9230 · Fax (865) 305-8894

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jordan Andrew Shealy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618265786
PECOS Enrollment IDI20210825001485
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Unc Health Nash

Acute Care Hospitals · Rocky Mount, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340147
Location2460 Curtis Ellis DriveRocky Mount, NC 27804 · Nash County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
130 GLENDALE DR W
WILSON, NC 27893
Surgery
130 GLENDALE DR W
WILSON, NC 27893
Nurse Practitioner (Family)
130 GLENDALE DR W
WILSON, NC 27893
Surgery
130 GLENDALE DR W
WILSON, NC 27893
Surgery
130 GLENDALE DR W
WILSON, NC 27893
Physician Assistant
130 GLENDALE DR W
WILSON, NC 27893
Surgery
130 GLENDALE DR W
WILSON, NC 27893

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Shealy's NPI number?

The NPI number for Jordan Shealy is 1033573464. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Jordan Shealy located?

Jordan Shealy practices at 130 Glendale Dr W, Wilson, NC 27893. The listed phone number is (252) 399-7557.

What is Jordan Shealy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jordan Shealy enrolled in Medicare?

Yes. Jordan Shealy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jordan Shealy accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jordan Shealy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Shealy affiliated with any hospitals?

According to CMS data, Jordan Shealy is affiliated with Wilson Medical Center and Unc Health Nash.

When was this NPI record last updated?

The NPPES record for Jordan Shealy was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.