| Jordan Mcclendon, CAA | |
|
1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152-4402 | |
| (770) 693-0810 | |
| Not Available |
| Full Name | Jordan Mcclendon |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 1300 Ridenour Blvd, Kennesaw, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447065537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 12852 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| The Emory Clinic Inc | 8820901408 | 3084 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Mcclendon, CAA 14108 Jefferson Cir N, Chamblee, GA 30341-7101 Ph: (720) 579-1484 | Jordan Mcclendon, CAA 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152-4402 Ph: (770) 693-0810 |
Tiffany L. Artman, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Donald Macneill, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Charles Luther, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 4295 Country Garden Walk Nw, Kennesaw, GA 30152 Phone: 401-301-7218 | |
Kaeli Surilla Dailey, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Walker Barrow, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-706-1806 | |
Gary P Jones, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 |