JORDAN BLAIR HUFFMAN COGGIN
NPI 1366844516
Nurse Practitioner - Family in Charlotte, NC

Active since September 18, 2014Opted out of Medicare · through Oct 1, 2027
1717 SHARON RD W, CHARLOTTE, NC 28210(980) 222-4692(704) 892-9324 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2024, Sep 27, 2016 (2 updates tracked since 2016).

About Jordan Blair Huffman Coggin NPPES

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

JORDAN BLAIR HUFFMAN COGGIN (NPI 1366844516) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5007186) and active in the NPI registry since September 2014. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1366844516
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN BLAIR HUFFMAN COGGIN
Location Address1717 SHARON RD WCharlotte, NC 28210-5663
Mailing Address10311 Calaveras CtHuntersville, NC 28078-6497 · (704) 239-5982
Fax(704) 892-9324
Sole ProprietorNo
Enumeration DateSeptember 18, 2014
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1366844516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5007186
1717 SHARON RD W, Charlotte, NC 28210

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jordan Blair Huffman Coggin has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 19

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

Social Worker
1717 SHARON RD W
CHARLOTTE, NC 28210
Clinic/Center (Mental Health (Including Community Mental Health Center))
1717 SHARON RD W
CHARLOTTE, NC 28210
Psychiatry & Neurology (Psychiatry)
1717 SHARON RD W
CHARLOTTE, NC 28210
Psychiatry & Neurology (Psychiatry)
1717 SHARON RD W
CHARLOTTE, NC 28210
Social Worker (Clinical)
1717 SHARON RD W
CHARLOTTE, NC 28210
Nurse Practitioner (Family)
1717 SHARON RD W
CHARLOTTE, NC 28210
Community Based Residential Treatment Facility, Mental Illness
1717 SHARON RD W
CHARLOTTE, NC 28210
Counselor
1717 SHARON RD W
CHARLOTTE, NC 28210

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 Coggin's NPI number?

The NPI number for Jordan Coggin is 1366844516. It was assigned to this individual provider in the NPPES registry on September 18, 2014.

Where is Jordan Coggin located?

Jordan Coggin practices at 1717 Sharon Rd W, Charlotte, NC 28210. The listed phone number is (980) 222-4692.

What is Jordan Coggin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Coggin enrolled in Medicare?

No. Jordan Coggin has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jordan Coggin accept?

Health plans from Blue Cross and Blue Shield of NC list Jordan Coggin 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.

When was this NPI record last updated?

The NPPES record for Jordan Coggin was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.