Jordan Edward Nutt, NP-C - Medicare Nurse Practitioner in Suwanee, GA

Jordan Edward Nutt, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Suwanee, Georgia. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Walker Lake Emergency Group Pc and his current practice location is 510 Ruby Forest Pkwy, Suwanee, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 654-2171.

Jordan Edward Nutt is licensed to practice in Georgia (license number RN172181) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871961847.

Contact Information

Jordan Edward Nutt, NP-C
510 Ruby Forest Pkwy,
Suwanee, GA 30024-3930
(770) 654-2171
Not Available

Map and Direction




Provider's Profile

Full NameJordan Edward Nutt
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location510 Ruby Forest Pkwy, Suwanee, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jordan Edward Nutt graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1871961847
  • Provider Enumeration Date: 09/09/2015
  • Last Update Date: 09/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3274837828
  • Enrollment ID: I20160202002415

Medical Identifiers

Medical identifiers for Jordan Edward Nutt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871961847NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN172181 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Walker Lake Emergency Group Pc084053191925

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. Jordan Edward Nutt allows following entities to bill medicare on his behalf.
Entity NameInphynet Primary Care Physicians Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521460
PECOS PAC ID: 3779497045
Enrollment ID: O20031119000600
Entity NameEmerginet, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164480869
PECOS PAC ID: 4082515853
Enrollment ID: O20040115000322
Entity NameEmerginet Henry, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811946627
PECOS PAC ID: 4981594900
Enrollment ID: O20040316000137
Entity NameNorthside Emergency Associates, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165
Entity NameWalker Lake Emergency Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437629342
PECOS PAC ID: 0840531919
Enrollment ID: O20190418001186

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. Jordan Edward Nutt 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
Jordan Edward Nutt, NP-C
510 Ruby Forest Pkwy,
Suwanee, GA 30024-3930

Ph: (770) 654-2171
Jordan Edward Nutt, NP-C
510 Ruby Forest Pkwy,
Suwanee, GA 30024-3930

Ph: (770) 654-2171

Reviews and Comments


Nurse Practitioner Nurses in Suwanee, GA

Lindsey Nye Davis, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6918 Mcginnis Ferry Rd, Suwanee, GA 30024
Phone: 770-622-5758    
Ms. Kimberly Erika Dowe, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 185 Old Peachtree Rd Nw, Suwanee, GA 30024
Phone: 678-937-0300    Fax: 678-405-1660
Linda Esosa Uwakwe, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5215 Corbin Ct, Suwanee, GA 30024
Phone: 404-567-9442    
Amauwia Okivie, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 961 Heathchase Dr, Suwanee, GA 30024
Phone: 678-463-5695    
Jasmine Rose Ling Duan,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024
Phone: 678-402-9550    Fax: 675-802-5765
Joseph Kim, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2685 Peachtree Pkwy, Suwanee, GA 30024
Phone: 770-771-5260    
Haritha Bommana, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Westbrook Rd Bldg A, Suwanee, GA 30024
Phone: 678-765-7550    

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.