SHERYL GILLIKIN JORDAN (M.D.) – Diagnostic Radiology Physician, NPI 1053314609
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,529 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for SHERYL GILLIKIN JORDAN (M.D.)
2300 Opitz Blvd
Woodbridge, VA 221913311
Phone: (703) 523-1199
Fax: (703) 583-4923
Type: Location
Medical Drive, Bordeaux, Fayetteville, Cumberland County, North Carolina, 28305, United States
FAYETTEVILLE, NC 283044425
Phone: (910) 486-5700
Fax: (910) 486-5950
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090627000002 | I | Diagnostic Radiology | NC | TBD |
| I20230607002480 | I | Diagnostic Radiology | AZ | TBD |
| I20240125003710 | I | Diagnostic Radiology | NJ | TBD |
| I20240216002189 | I | Diagnostic Radiology | SC | TBD |
| I20241022005384 | I | Diagnostic Radiology | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 191 | 191 | $0 |
| 77063 | Screening 3d breast mammography | 186 | 186 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 36 | 34 | $0 |
| 77066 | Diagnostic mammography of both breasts | 25 | 25 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 24 | 24 | $0 |
Insurance plans in this area (ZIP 22191)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | NC | 71010 | X-ray of chest, 1 view, front | 388 | 256 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| - | NC | |
| - | NC | |
| Diagnostic Radiology | NC | |
| - | NC |
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