MR. JORDAN LEE WOOD (NPI# 1639690126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639690126 |
| Entity Type | Individual |
| Full Name | MR. JORDAN LEE WOOD |
| Credential | FNP |
| Practice Address |
308 Coliseum Dr Ste 120 Macon GA 31217-3859 |
| Mailing Address |
1835 Savoy Dr Ste 300 Atlanta GA 30341-1071 |
| Practice Telephone | 4787456130 |
| Practice Fax Number | 4787454443 |
| Mailing Telephone | 4787456130 |
| Mailing Fax Number | 4787454443 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN231069 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003210385B | 05 | |
| GA | MEDICARE PTAN | G06315B | 01 |
| GA | 003210385A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891144416 | Jordan R Wood | Pharmacist | 1700 E Nc Highway 54, Durham, NC 27713-2107 | 2016-06-04 |
| 1548619406 | Jordan Wood | Family Medicine | 305 W Jackson St, Carbondale, IL 62901-1474 | 2016-06-10 |
| 1508215807 | Jordan Wood | Physical Therapist | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-06-07 |
| 1063884880 | Jordan Paul Wood | Nurse Practitioner | 8220 Walnut Hill Ln, Suite 408, Dallas, TX 75231-4427 | 2015-10-21 |
| 1245301845 | Jordan A. Wood | Counselor | 859 Willard St, Ste 430, Quincy, MA 02169-7482 | 2006-11-13 |
| Street Address |
308 COLISEUM DR STE 120 |
| City | MACON |
| State | GA |
| Zip Code | 31217-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629056395 | Cheryl F Jones | Internal Medicine | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2006-01-04 |
| 1306496955 | Dana Parrish Branchetti | Nurse Practitioner | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2019-09-16 |
| 1992275549 | Candace L. Nesmith | Nurse Practitioner | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2018-11-27 |
| 1508379090 | Mary C Siror | Nurse Practitioner | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2017-11-07 |
| 1154719540 | Andriea L. Mimbs | Nurse Practitioner | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2015-01-07 |
| 1134460637 | Megan L Osborne | Physician Assistant | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2013-03-07 |
| 1962790550 | Tatyana Y. Sklyar | Internal Medicine | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2011-07-16 |
| 1548248289 | Raj R Gupta | Internal Medicine | 308 Coliseum Dr Ste 120, Macon, GA 31217-3859 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604158 | Tekeria Gallemore | Nurse Practitioner | 204 Rockingham Pl, Macon, GA 31217-2615 | 2020-09-22 |
| 1710534839 | Tuwanna Yvette Brooks | Nurse Practitioner | 2685 Cherokee Ave, Macon, GA 31204-3940 | 2019-08-22 |
| 1568019206 | Candace W Webb | Nurse Practitioner | 770 Pine St Ste 310, Macon, GA 31201-7587 | 2019-08-19 |
| 1013579846 | Rachel Michelle Applegate | Nurse Practitioner | 657 Hemlock St Ste 200, Macon, GA 31201-8324 | 2019-07-02 |
| 1447813993 | Amelia Angelica Harpe Mills | Nurse Practitioner | 3300 N Ingle Pl Apt 6e, Macon, GA 31210-2529 | 2019-04-19 |
| 1922563287 | Vanessa Lott | Nurse Practitioner | 107 William Way, Macon, GA 31216-6160 | 2019-01-31 |
| 1649771155 | Tory Kirsten Etheridge | Nurse Practitioner | 688 Walnut St Ste 200, Macon, GA 31201-0333 | 2018-02-21 |
| 1003324112 | Jared L Jarrett Np, LLC | Nurse Practitioner | 770 Pine St Ste 560, Macon, GA 31201-7569 | 2018-01-11 |
| 1699281360 | Charneika C Brown | Nurse Practitioner | 639 Hemlock St Ste 100, Macon, GA 31201-6889 | 2017-12-18 |
| 1821512393 | Bridgette Rebecca Harrison | Nurse Practitioner | 193 John Michael Drive, Macon, GA 31211 | 2017-07-27 |
| Find all providers in MACON | ||||
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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.