| Tina Jordan, FNP | |
|
345 Huntington Place Ct, Mcdonough, GA 30253-8651 | |
| (678) 272-7280 | |
| (678) 610-6025 |
| Full Name | Tina Jordan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 345 Huntington Place Ct, Mcdonough, 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 |
|---|---|---|---|
| 1255703088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN 98431 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Locust Grove Family Medicine | 1052306008 | 5 |
| Entity Name | Locust Grove Family Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629169164 PECOS PAC ID: 1052306008 Enrollment ID: O20040419000601 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Entity Name | Magnolia Ent, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720828395 PECOS PAC ID: 3779021118 Enrollment ID: O20240815002826 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Jordan, FNP 600 Highpoint Way, Mcdonough, GA 30253-4699 Ph: (404) 606-8430 | Tina Jordan, FNP 345 Huntington Place Ct, Mcdonough, GA 30253-8651 Ph: (678) 272-7280 |
Mrs. Brandie Ann Villanova, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Pkwy, Mcdonough, GA 30253 Phone: 678-583-9071 | |
Catherine A Nkongho, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 437 Concord Cir, Mcdonough, GA 30253 Phone: 240-491-6813 | |
Joyce Paulette Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Gladys Ct, Mcdonough, GA 30252 Phone: 404-643-6597 | |
Erica Tonya Newland, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 Town Center Village Dr Apt 2101, Mcdonough, GA 30253 Phone: 516-605-8477 | |
Mrs. Betty Jean Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Michael Ln, Mcdonough, GA 30252 Phone: 770-401-1901 | |
Emily Il Arthur, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Regency Park Dr Ste 140, Mcdonough, GA 30253 Phone: 770-957-8626 Fax: 770-957-7200 | |
Brad Alan Oglesby, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Oakwood Trl, Mcdonough, GA 30252 Phone: 678-591-6798 |