BENJAMIN JORDAN (NPI# 1386845535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386845535 |
| Entity Type | Individual |
| Full Name | BENJAMIN JORDAN |
| Credential | PA |
| Practice Address |
840 Stevens Creek Rd Augusta GA 30907-9251 |
| Mailing Address |
Po Box 1705 Augusta GA 30903-1705 |
| Practice Telephone | 7067249607 |
| Practice Fax Number | 7067227454 |
| Mailing Telephone | 7067747263 |
| Mailing Fax Number | 7067747230 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4952 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 Mount Pleasant Rd, Thomson, GA 308248139 | 7065979700 | 7065970790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461369 | Benjamin Jordan | Occupational Therapy Assistant | 55 W Lake Rd, Pleasant Hill, TN 38578-3002 | 2019-01-29 |
| 1437413119 | Benjamin Craig Jordan | Dentist | 1220 Chesterfield Hwy, Cheraw, SC 29520-7014 | 2012-06-27 |
| 1922393396 | Benjamin C Jordan | Surgery | 700 S Park St, Madison, WI 53715 | 2011-06-14 |
| 1669606992 | Benjamin Edward Jordan | Radiology | 210 25th Ave N, Suite 602, Nashville, TN 37203 | 2009-05-15 |
| 1457331845 | Benjamin William Jordan | Psychiatry & Neurology | 90 Hospital Dr, Athens, OH 45701-2301 | 2006-01-20 |
| Street Address |
840 STEVENS CREEK RD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30907-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265414528 | Andrew Christopher Forgay | Specialist | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2005-11-14 |
| 1689288599 | Sara Chandler Crosby | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2020-09-08 |
| 1215491428 | Rebecca Mims | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2019-01-22 |
| 1912472481 | Chelsea Manning | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2018-10-10 |
| 1194265546 | Chasity Smith | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2017-03-05 |
| 1235677113 | Lindsey Mears | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2017-02-10 |
| 1275081218 | Jamie Lee Mitchell | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-20 |
| 1427505940 | Kit Taylor | Physician Assistant | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-09-01 |
| 1811441660 | Erin Norris Key | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2016-08-10 |
| 1407224819 | Melissa Chapel | Nurse Practitioner | 840 Stevens Creek Rd, Augusta, GA 30907-9251 | 2015-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158156 | Mary Cameron Elizabeth Robert | Dentist | 3226 Washington Rd, Augusta, GA 30907 | 2020-06-16 |
| 1841760451 | Debra E Gibbs | Dental Hygienist | 523 Crystal Creek West, Martinez, GA 30907 | 2018-11-27 |
| 1083183651 | Leslie Yvonne Watkins | Massage Therapist | 3450 River Watch Parkway, Suite 100, Martinez, GA 30907 | 2018-11-13 |
| 1124594718 | Kimberly A Delaigle | Nurse Practitioner | 3475 Riverwatch Parkway, Suite 310, Martinez, GA 30907 | 2018-10-22 |
| 1366960825 | Catherine Lane Hopkins | Speech-Language Pathologist | 435 Cambridge Circle, Martinez, GA 30907 | 2017-09-05 |
| 1518485143 | Challenging Perspectives | Clinic/Center | 3710 Executive Center Dr Suite B, Martinez, GA 30907 | 2017-09-04 |
| 1386168490 | Carlene Elizabeth Lemcke | Speech-Language Pathologist | 3580 Riverwatch Parkway, Martinez, GA 30907 | 2017-07-31 |
| 1619499357 | Orchid Archer | Registered Nurse | 702 Riverbend Drive, Martinez, GA 30907 | 2017-07-14 |
| 1437679339 | Mediator Senior Care, LLC | In Home Supportive Care | 4143 Columbia Rd., Suite B, Martinez, GA 30907 | 2017-06-21 |
| 1518407907 | Augusta Smilecare PC | Dentist | 4200 Columbia Road, Martinez, GA 30907 | 2017-03-03 |
| Find all providers in zip 30907 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1932740529 | Karmen Littlejohn Elsen | Physician Assistant | 1120 15th St Professional Bld 1, Augusta, GA 30912-0004 | 2019-10-04 |
| 1821643313 | Alicia M Sanborn | Physician Assistant | 21 Enterprise Dr, Augusta, ME 04330-7894 | 2019-08-02 |
| 1750856332 | Annie Ruth Dennis-king | Physician Assistant | 1120 15th St # Bi-3088, Augusta, GA 30912-0004 | 2018-10-10 |
| 1649745415 | Sara Bailey | Physician Assistant | 3486 Peach Orchard Rd, Augusta, GA 30906-5214 | 2018-10-09 |
| 1386154045 | Anna Louise Walker | Physician Assistant | 1120 15th St Digestive Health Center Ad 2226, Augusta, GA 30912-0001 | 2017-10-09 |
| 1801337779 | Women's Health of Augusta | Physician Assistant | 1303 Dantignac St Ste 2500, Augusta, GA 30901-2792 | 2017-03-13 |
| 1376090571 | Kacee Camp Morris | Physician Assistant | 1350 Walton Way Fl 2, Augusta, GA 30901-2612 | 2016-09-06 |
| 1366807216 | Ashley Andrews Macdearmid | Physician Assistant | 15 Enterprise Dr Ste 100, Augusta, ME 04330-7998 | 2015-12-19 |
| 1124490255 | John R Martin | Physician Assistant | 3651 Wheeler Rd., Augusta, GA 30909 | 2015-10-28 |
| Find all providers in AUGUSTA | ||||
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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.