| Dr Melissa Evans Jordan, MD | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 994-9426 | |
| Not Available |
| Full Name | Dr Melissa Evans Jordan |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 19 Years |
| Location | 1412 Milstead Ave Ne, Conyers, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 002651 (Georgia) | Secondary |
| 207P00000X | Emergency Medicine | 064574 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Emergency Associates, P.c. | 9335135144 | 41 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Northside Emergency Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
| Entity Name | Walker Lake Emergency Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Evans Jordan, MD 235 Peachtree St Ne, Atlanta, GA 30303-1401 Ph: (770) 994-9426 | Dr Melissa Evans Jordan, MD 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 994-9426 |
Angela Feazel Mattke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 |
Jorge E Rivera-kolb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 Meadow Springs Dr Sw, Conyers, GA 30094 Phone: 770-648-6207 |
John Tucker Irwin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Stillmeadow Rd Sw, Conyers, GA 30094 Phone: 770-827-9526 |
Dr. Ellica Moore Chu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 Fax: 404-809-4284 |
Dr. Keith Howell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Avenue, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 |
Dr. Jonathan Altman, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 125, Conyers, GA 30012 Phone: 678-413-6276 Fax: 678-413-6277 |
Sepedeh Nabavi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-597-3081 |