Jordan Gulley, in Dalton, GA - Medicare Nurse Practitioner

Jordan Gulley, is a medicare enrolled "Nurse Practitioner - Family" in Dalton, Georgia. His current practice location is 1434 Broadrick Dr, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 278-5961.

Jordan Gulley is licensed to practice in Tennessee (license number RN292981) 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 1609400183.

Contact Information

	Jordan Gulley,
	1434 Broadrick Dr, Dalton, GA 30720-3009
	(706) 278-5961
	(706) 275-0280

Map and Direction

Provider's Profile

Full Name	Jordan Gulley
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1434 Broadrick Dr, Dalton, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609400183
Provider Enumeration Date: 02/24/2020
Last Update Date: 02/24/2020

Medicare PECOS Information:

PECOS PAC ID: 4981026457
Enrollment ID: I20200630001006

Medical Identifiers

Medical identifiers for Jordan Gulley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609400183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN292981 (Tennessee)	Primary

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 Gulley allows following entities to bill medicare on his behalf.

Entity Name	North Georgia Urology Center, Pc, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861413197 PECOS PAC ID: 1951388180 Enrollment ID: O20040706000589

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 Gulley 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
Jordan Gulley, 1434 Broadrick Dr, Dalton, GA 30720-3009 Ph: (706) 278-5961	Jordan Gulley, 1434 Broadrick Dr, Dalton, GA 30720-3009 Ph: (706) 278-5961

Reviews and Comments

Nurse Practitioner Nurses in Dalton, GA

Mrs. Jessica Sanders, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Rd, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126
Mrs. Katie Louise Wooten, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Reed Rd Ste 104, Dalton, GA 30720 Phone: 706-278-1622 Fax: 706-272-6445
Karen Lolley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Gillum Dr Ste 3, Dalton, GA 30721 Phone: 706-229-9709 Fax: 706-229-9779
Joy Bernice Whaley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Professional Blvd, Dalton, GA 30720 Phone: 706-226-2621 Fax: 706-281-2325
Mrs. Kelli Michelle Welch, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2918 E Walnut Ave, Dalton, GA 30721 Phone: 706-529-4600 Fax: 706-529-4633
Autumn Denise Bartenfield, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1525 Chattanooga Ave, Dalton, GA 30720 Phone: 706-529-7124 Fax: 706-529-7126
Rod Lee Lewis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr Ste 200, Dalton, GA 30720 Phone: 706-226-9355 Fax: 706-226-9380

Jordan Gulley, - Medicare Nurse Practitioner in Dalton, GA