| Jordan Kyle Dickens, CAA | |
|
1000 Johnson Ferry Rd, Sandy Springs, GA 30342-1611 | |
| (404) 851-8000 | |
| Not Available |
| Full Name | Jordan Kyle Dickens |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 1000 Johnson Ferry Rd, Sandy Springs, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144709189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 26626391 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 543 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Kyle Dickens, CAA 4420 Peachtree Rd Ne Apt 2426, Brookhaven, GA 30319-2895 Ph: (912) 294-0854 | Jordan Kyle Dickens, CAA 1000 Johnson Ferry Rd, Sandy Springs, GA 30342-1611 Ph: (404) 851-8000 |
Bethany Buice, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5995 Barfield Rd, Sandy Springs, GA 30328 Phone: 770-702-1806 | |
Hannah Grace West, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd, Sandy Springs, GA 30342 Phone: 404-851-8000 | |
Mr. Addison Henry Biggs, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd, Sandy Springs, GA 30342 Phone: 404-851-8000 | |
Austin Ray, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd, Sandy Springs, GA 30342 Phone: 404-851-8000 |