TINA JORDAN (NPI# 1255703088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255703088 |
| Entity Type | Individual |
| Full Name | TINA JORDAN |
| Credential | FNP |
| Practice Address |
101 Deluxe Cir Suite B Thomaston GA 30286-3030 |
| Mailing Address |
600 Highpoint Way Mcdonough GA 30253-4699 |
| Practice Telephone | 7066477509 |
| Practice Fax Number | 7066476624 |
| Mailing Telephone | 4046068430 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 98431 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699899773 | Tina Jordan | Registered Nurse | 47 Aegina Ct, Tinley Park, IL 60477-4825 | 2007-03-16 |
| 1417318775 | Tina Jordan | Nurse Practitioner | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2016-03-15 |
| 1699110940 | Tina Jordan | Occupational Therapy Assistant | 307 Main St, Lander, WY 82520-3101 | 2013-04-30 |
| 1831477595 | Tina Marie Jordan | Massage Therapist | 4640 Lipscomb St Ne, Suite 16, Palm Bay, FL 32905-2986 | 2011-07-29 |
| 1194918912 | Tina R Jordan | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-08-24 |
| Street Address |
101 DELUXE CIR SUITE B |
| City | THOMASTON |
| State | GA |
| Zip Code | 30286-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336544683 | Susan Leanne Jobe | Nurse Practitioner | 101 Deluxe Cir, Suite B, Thomaston, GA 30286-3030 | 2014-10-29 |
| 1407400336 | Cynthia Renae Beeland | Nurse Practitioner | 101 Deluxe Cir, Thomaston, GA 30286-3030 | 2019-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093190670 | Careconnect Health, Inc. | Clinic/Center | 101 Deluxe Circle, Suite B, Thomaston, GA 30286 | 2015-07-24 |
| 1366859092 | Rhanada Shanae Wyche | Licensed Practical Nurse | 1226 Trice Cemetery Spur, Thomaston, GA 30286 | 2014-07-15 |
| 1083842918 | Upson Family Physicians, Lc | Family Medicine | 612 West Gordon Street, Suite C, Thomaston, GA 30286 | 2009-06-30 |
| 1942421557 | Melanie B Jackson | Licensed Practical Nurse | 605 West Gordon, Thomaston, GA 30286 | 2007-05-01 |
| 1114064540 | Kevin Lee Delli-gatti | Pediatrics | 403 W Gordon St, Thomaston, GA 30286 | 2007-02-01 |
| 1356487367 | Fuller Life Chiropractic Center | Chiropractor | 1619 Hwy 19 North, Thomaston, GA 30286 | 2007-01-29 |
| 1013072339 | Tommy Wayne Farr | Dentist | 98 Short E St, Thomaston, GA 30286 | 2006-12-27 |
| 1841301900 | Kenneth Murray Deen | Ophthalmology | 232 Cherokee Road, Thomaston, GA 30286 | 2006-08-31 |
| 1659489987 | William B Gardner | Dentist | 507 W Gordon St, Thomaston, GA 30286 | 2006-08-28 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| Find all providers in zip 30286 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412679 | Lindsay Allen Helms | Nurse Practitioner | 120 Earls Rd, Thomaston, GA 30286-3248 | 2019-05-14 |
| 1124506043 | Siena Giordano | Nurse Practitioner | 76 Watertown Rd, Thomaston, CT 06787-1826 | 2018-08-02 |
| 1477052157 | Thayer A Clark | Nurse Practitioner | 76 Watertown Rd Ste 2f, Thomaston, CT 06787-1826 | 2018-02-07 |
| 1386171387 | Eric J Schubert | Nurse Practitioner | 503 W Gordon St, Thomaston, GA 30286-3424 | 2017-05-22 |
| 1336544683 | Susan Leanne Jobe | Nurse Practitioner | 101 Deluxe Cir, Suite B, Thomaston, GA 30286-3030 | 2014-10-29 |
| 1619936895 | Sabrina M. Lancaster | Nurse Practitioner | 503 West Grodon St, Thomaston, GA 30286 | 2006-03-17 |
| 1730162470 | Judy Lynn Hoffman | Nurse Practitioner | 1512 Highway 19 N, Family Medical Center, Thomaston, GA 30286-2258 | 2005-11-28 |
| 1568078483 | Michael W Savelle Jr. | Nurse Practitioner | 1512 Highway 19 N, Thomaston, GA 30286-2258 | 2020-09-16 |
| 1407400336 | Cynthia Renae Beeland | Nurse Practitioner | 101 Deluxe Cir, Thomaston, GA 30286-3030 | 2019-07-29 |
| 1699337527 | Jessica Evans Strickland | Nurse Practitioner | 801 W Gordon St, Thomaston, GA 30286-3426 | 2019-07-01 |
| Find all providers in THOMASTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.