Charice Wilson Jordan, PA-C - Medicare Physician Assistant in Lithia Springs, GA

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Charice Wilson Jordan, PA-C is a medicare enrolled "Physician Assistant" in Lithia Springs, Georgia. Her current practice location is 939 Thornton Rd, Lithia Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 948-5400.

Charice Wilson Jordan is licensed to practice in Georgia (license number 6661) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205189859.

Contact Information

Charice Wilson Jordan, PA-C
939 Thornton Rd,
Lithia Springs, GA 30122-2634
(770) 948-5400
Not Available

Map and Direction




Provider's Profile

Full NameCharice Wilson Jordan
GenderFemale
SpecialityPhysician Assistant
Location939 Thornton Rd, Lithia Springs, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205189859
  • Provider Enumeration Date: 10/19/2012
  • Last Update Date: 05/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3072765486
  • Enrollment ID: I20121212000019

Medical Identifiers

Medical identifiers for Charice Wilson Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205189859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6661 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charice Wilson Jordan allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503

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. Charice Wilson Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charice Wilson Jordan, PA-C
Po Box 761,
Lithia Springs, GA 30122-0761

Ph: (904) 566-8851		Charice Wilson Jordan, PA-C
939 Thornton Rd,
Lithia Springs, GA 30122-2634

Ph: (770) 948-5400

Reviews and Comments


Physician Assistant Nurses in Lithia Springs, GA

Sarah Elizabeth Wishon, PA-C, MMSC
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Phone: 770-769-1724    
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Practice Location: 644 Thornton Rd, Lithia Springs, GA 30122
Phone: 678-915-9887    
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Medicare: Medicare Enrolled
Practice Location: 880 Crestmark Dr Ste 200, Lithia Springs, GA 30122
Phone: 770-941-8662    Fax: 770-739-6006
Timoya Mckay-wilkins, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 939 Bob Arnold Blvd, Lithia Springs, GA 30122
Phone: 770-769-1724    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.