MR. WILLIAM ANTHONY JORDAN (NPI# 1790974319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790974319 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM ANTHONY JORDAN |
| Credential | CERTIFIED COUNSELOR |
| Practice Address |
2841 N Patterson St Valdosta GA 31602-1743 |
| Practice Telephone | 2293160132 |
| Practice Fax Number | 2293160162 |
| Mailing Telephone | 2293160132 |
| Mailing Fax Number | 2293160162 |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
268 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386267862 | William Eriksen Jordan | Counselor | 2812 Drake Ave Sw, Huntsville, AL 35805-5122 | 2020-05-19 |
| 1245668516 | William Travis Jordan | Psychologist | 4037 Taylor Rd Ste C, Chesapeake, VA 23321-5500 | 2013-10-24 |
| 1437349420 | William Jefferson Jordan | Orthopaedic Surgery | 17450 St Lukes Way Ste 390, The Woodlands, TX 77384 | 2007-07-26 |
| 1346373214 | William Vascoe Jordan IIi | Dentist | 3501 Town Center Blvd S, Sugar Land, TX 77479-1285 | 2007-03-13 |
| 1477643302 | William V. Jordan | Chiropractor | 411 D. Street, South Charleston, WV 25303 | 2006-10-13 |
| 1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
| 1720099518 | William C Jordan | Counselor | 613 Pelham Rd S Ste 2, Jacksonville, AL 36265-2771 | 2006-08-10 |
| 1366474678 | William Jordan | Dentist | 18789 Sw Boones Ferry Rd, Ste 4, Tualatin, OR 97062-8412 | 2006-07-07 |
| 1497744932 | William Luke Jordan | Obstetrics & Gynecology | 12900 W.9 Mile Road, Oak Park, MI 48237 | 2005-10-18 |
| 1275940462 | William Jordan | Pharmacist | 4240 Yellowstone Ave, Chubbuck, ID 83202-2420 | 2014-07-19 |
| Street Address |
2841 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498964 | Victor A. Folarin | Family Medicine | 2841 N Patterson St, Nf/sg Vahs Valdosta Outpatient Clinic, Valdosta, GA 31602-1890 | 2005-09-25 |
| 1205236759 | Amy Reynolds | Licensed Practical Nurse | 2841 N Patterson St, Valdosta, GA 31602-1890 | 2014-09-02 |
| 1992957229 | Sherri Shuman Willis | Social Worker | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2008-10-17 |
| 1356503460 | Daisy Fiveash Striggles | Nurse Practitioner | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2008-06-30 |
| 1497819635 | Steve M Bowland | Social Worker | 2841 N Patterson St, V. A. Outpatient Clinic, Valdosta, GA 31602-1890 | 2006-12-21 |
| 1962516625 | Emily Burton | Psychologist | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2006-08-19 |
| 1699889121 | Edwin Lee Hiatt | Family Medicine | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2006-08-19 |
| 1801815543 | Leeann Martin | Social Worker | 2841 N Patterson St, Valdosta, GA 31602-1743 | 2006-07-19 |
| 1447295498 | Lester R. Johnson | Emergency Medicine | 2841 N Patterson St, Valdosta, GA 31602-1890 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083950463 | Shelia De Lois Walker | Counselor | 5624 Fontana Rd, Valdosta, GA 31601-2479 | 2012-12-12 |
| 1356430193 | Selina Joy Popovich-evans | Counselor | 3120 N Oak Street Ext, Suite C, Valdosta, GA 31602-1007 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. WILLIAM ANTHONY JORDAN.
| 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.