Robert Jordan, is a
Physician Assistant physician based in Douglasville, Georgia. Robert Jordan is licensed to practice in Georgia (license number 001968) and his current practice location is 8954 Hospital Dr, Douglasville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 920-6420.
NPI number for Robert Jordan is 1326149063 and his current mailing address is 5665 New Northside Dr Nw, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326149063.
Physician's Profile
| Full Name | Robert Jordan |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 8954 Hospital Dr, Douglasville, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326149063
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 09/04/2018
Medical Identifiers
Medical identifiers for Robert Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326149063 | NPI | - | NPPES |
| PENDING | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 001968 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 001968 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Jordan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Jordan,
5665 New Northside Dr Nw,
Atlanta, GA 30328-5831
Ph: (770) 874-5400 | Robert Jordan,
8954 Hospital Dr,
Douglasville, GA 30134
Ph: (770) 920-6420 |
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