| Susan Stewart Jordan, MD | |
|
2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | |
| (770) 460-4747 | |
| (678) 673-5102 |
| Full Name | Susan Stewart Jordan |
|---|---|
| Gender | Female |
| Speciality | Sports Medicine |
| Experience | 24 Years |
| Location | 2201 Newnan Crossing Blvd E Ste 100, Newnan, 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 |
|---|---|---|---|
| 1336344324 | NPI | - | NPPES |
| 045509 | Other | CT | STATE LICENSE |
| 066169 | Other | GA | STATE LICENSE |
| MD432428 | Other | PA | PA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 066169 (Georgia) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 066169 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Physiotherapy Associates Inc | 3577470442 | 1089 |
| Piedmont Orthopedics, Llc | 4385963172 | 170 |
| Entity Name | Orthoatlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
| Entity Name | Piedmont Orthopedics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114317062 PECOS PAC ID: 4385963172 Enrollment ID: O20150429000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Stewart Jordan, MD 900 Circle 75 Pkwy Se, Suite 1700, Atlanta, GA 30339-3035 Ph: (770) 953-6929 | Susan Stewart Jordan, MD 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 Ph: (770) 460-4747 |
Dr. Domenic Scalamogna, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265 Phone: 770-460-4747 Fax: 678-673-5102 | |
Dr. David Joseph Love, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E, Newnan, GA 30265 Phone: 770-502-2175 | |
Jayson Alan Mcmath, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E, Suite 2200, Newnan, GA 30265 Phone: 770-502-2175 Fax: 770-502-2131 | |
Virginia M Jones, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265 Phone: 770-460-4747 Fax: 678-673-5102 | |
Michael V. Cushing, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E, Suite 220, Newnan, GA 30265 Phone: 770-502-2175 Fax: 770-502-2131 | |
Clark Monroe Walker, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 34 E Ste 2200, Newnan, GA 30265 Phone: 770-502-2175 |