Jordan Edward Nutt, NP-C | |
510 Ruby Forest Pkwy, Suwanee, GA 30024-3930 | |
(770) 654-2171 | |
Not Available |
Full Name | Jordan Edward Nutt |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 510 Ruby Forest Pkwy, Suwanee, 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 |
---|---|---|---|
1871961847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN172181 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Walker Lake Emergency Group Pc | 0840531919 | 25 |
Entity Name | Inphynet Primary Care Physicians Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
Entity Name | Emerginet, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164480869 PECOS PAC ID: 4082515853 Enrollment ID: O20040115000322 |
Entity Name | Emerginet Henry, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
Entity Name | Northside Emergency Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | Walker Lake Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
Mailing Address | Practice 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 |
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 |