Robert Jordan, is a medicare enrolled "Physician Assistant" physician in Douglasville, Georgia. His current practice location is
8954 Hospital Dr, Douglasville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 920-6420.
Robert Jordan is licensed to practice in Georgia (license number 001968) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1326149063.
Physician's Profile
Full Name | Robert Jordan |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 8954 Hospital Dr, Douglasville, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326149063
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 09/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082784079
- Enrollment ID: I20080603000238
Medical Identifiers
Medical identifiers for Robert Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326149063 | NPI | - | NPPES |
PENDING | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 001968 (Georgia) | Secondary |
363A00000X | Physician Assistant | 001968 (Georgia) | Primary |
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. Robert 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 Address | Practice Location Address |
Robert Jordan, 5665 New Northside Dr Nw, Atlanta, GA 30328-5831 Ph: (770) 874-5400 | Robert Jordan, 8954 Hospital Dr, Douglasville, GA 30134 Ph: (770) 920-6420 |
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