CLODIA JORDAN CHAPPELL WHITE PA
NPI 1396479762
Physician Assistant in Elizabeth City, NC

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
1134 N ROAD ST STE 9, ELIZABETH CITY, NC 27909(252) 331-1100 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clodia Jordan Chappell White Pa NPPES

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

CLODIA JORDAN CHAPPELL WHITE PA (NPI 1396479762) is an individual physician assistant in Elizabeth City, North Carolina, licensed in North Carolina (0010-12357) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396479762
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCLODIA JORDAN CHAPPELL WHITECredential: PA
Location Address1134 N ROAD ST STE 9Elizabeth City, NC 27909-3365
Mailing Address1134 N Road St Ste 9Elizabeth City, NC 27909-3365 · (252) 331-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 12, 2022
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
NPI 1396479762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-12357
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1134 N ROAD ST STE 9, Elizabeth City, NC 27909

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

Clodia Jordan Chappell White Pa 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 ID6103200803
PECOS Enrollment IDI20220830001330
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27909 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 3

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

Physician Assistant
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909
Nurse Practitioner (Family)
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909
Physician Assistant
1134 N ROAD ST STE 9
ELIZABETH CITY, NC 27909

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 Clodia Chappell White's NPI number?

The NPI number for Clodia Chappell White is 1396479762. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Clodia Chappell White located?

Clodia Chappell White practices at 1134 N Road St Ste 9, Elizabeth City, NC 27909. The listed phone number is (252) 331-1100.

What is Clodia Chappell White's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Clodia Chappell White enrolled in Medicare?

Yes. Clodia Chappell White 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.

Is Clodia Chappell White affiliated with any hospitals?

According to CMS data, Clodia Chappell White is affiliated with Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Clodia Chappell White was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.