SUSAN STEWART JORDAN (NPI# 1336344324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336344324 |
| Entity Type | Individual |
| Full Name | SUSAN STEWART JORDAN |
| Credential | M.D. |
| Practice Address |
2201 Newnan Crossing Blvd E Ste 100 Newnan GA 30265-2551 |
| Mailing Address |
900 Circle 75 Pkwy Se Suite 1700 Atlanta GA 30339-3035 |
| Practice Telephone | 7704604747 |
| Practice Fax Number | 6786735102 |
| Mailing Telephone | 7709536929 |
| Mailing Fax Number | 7709536972 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 066169 | GA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
066169 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA STATE LICENSE | MD432428 | 01 |
| GA | STATE LICENSE | 066169 | 01 |
| CT | STATE LICENSE | 045509 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275670 | Susan Louise Jordan | Behavioral Analyst | 284 Crestwood Ct, Fishkill, NY 12524-3309 | 2014-04-15 |
| 1982840963 | Susan Jordan | Licensed Practical Nurse | 55 Heather Ln, Levittown, NY 11756-3307 | 2008-12-23 |
| 1861511438 | Susan Beth Jordan | Behavioral Analyst | 7839 University Ave, La Mesa, CA 91942-0476 | 2007-03-28 |
| 1093898926 | Susan Kleck Jordan | Counselor | 7701 E 1st Pl, Suite D, Denver, CO 80230-6920 | 2006-10-23 |
| 1073613709 | Susan A Jordan | Dietitian, Registered | 1010 South, 7650 East, Crow Agency, MT 59022-0022 | 2006-09-23 |
| 1003913799 | Susan E. Jordan | Nurse Practitioner | 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2006-09-17 |
| 1952361776 | Susan Anne Jordan | Family Medicine | 1526 E. Main Street, Melbourne, AR 72556 | 2006-03-24 |
| 1427047331 | Susan Starbuck Jordan | Registered Nurse | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2005-10-14 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| Street Address |
2201 NEWNAN CROSSING BLVD E STE 100 |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487730628 | Michael Andrew Mchenry | Physical Medicine & Rehabilitation | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2006-10-31 |
| 1972120624 | Christina Lynn Dehnke | Physical Therapist | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2020-06-29 |
| 1851937114 | Orthoatlanta, LLC | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2019-11-21 |
| 1659533545 | David A Brcka | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2008-07-01 |
| 1194991125 | Virginia M Jones | Orthopaedic Surgery | 2201 Newnan Crossing Blvd E Ste 100, Newnan, GA 30265-2551 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447276811 | Georgia Bone & Joint, LLC | Orthopaedic Surgery | 1755 Highway 34 E, Suite 2200, Newnan, GA 30265-5631 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326679671 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 965 Oakland Rd Ste C, Lawrenceville, GA 30044-3758 | 2020-01-27 |
| 1932730298 | Barbour Orthopaedics & Sports Medicine PC | Orthopaedic Surgery | 1100 Northside Forsyth Dr Ste 360, Cumming, GA 30041-6022 | 2020-01-27 |
| 1275094310 | Mariolino Da Graca Fernandes | Orthopaedic Surgery | 3240 Northeast Expy Ne, Atlanta, GA 30341-4003 | 2019-03-29 |
| 1437601598 | Optim Orthopedics LLC | Orthopaedic Surgery | 460 Mall Blvd Ste B, Savannah, GA 31406-4801 | 2016-10-25 |
| 1750753182 | Zachary Russell | Orthopaedic Surgery | 1305 Jennings Mill Road, Building 300, Suite 110, Watkinsville, GA 30677 | 2015-10-26 |
| 1396121315 | 2 Bare Bones Medical LLC | Orthopaedic Surgery | 11102 Abercorn St, Savannah, GA 31419-1822 | 2015-07-31 |
| 1578985180 | Brandon Dobo | Orthopaedic Surgery | 410 Brookhaven Way Ne, Atlanta, GA 30319-3177 | 2014-01-16 |
| 1306102785 | Elan J Golan | Orthopaedic Surgery | 1800 Tree Ln Ste 140, Snellville, GA 30078-6799 | 2012-04-10 |
| 1235405747 | Pinnacle Orthopaedics & Sports Medicine Specia | Orthopaedic Surgery | 1000 Chastain Road, Building II, Kennesaw, GA 30144-0000 | 2012-03-29 |
| 1346413648 | Mathew William Pombo | Orthopaedic Surgery | 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 | 2008-04-08 |
| Find all providers with the same taxonomy | ||||
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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.