Tina K Jordan (NPI# 1255703088, PAC ID# 0840590014) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255703088 |
| PAC ID by PECOS | 0840590014 |
| Professional Enrollment ID | I20151120000872 |
| Full Name | Tina K Jordan |
| Organization Legal Name | LOCUST GROVE FAMILY MEDICINE |
| Address |
345 Huntington Place Ct Mcdonough GA 30253-8651 |
| Phone Number | 6782727280 |
| Gender | F |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052306008 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 345 Huntington Place Ct, Mcdonough, GA 30253-8651 | 6782727280 | LOCUST GROVE FAMILY MEDICINE |
| Organization Legal Name | LOCUST GROVE FAMILY MEDICINE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Althea Dimaculangan | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Nimisha Trivedi | Family Medicine | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Remonne Joseph | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Street Address |
345 HUNTINGTON PLACE CT |
| City | MCDONOUGH |
| State | GA |
| Zip | 30253-8651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allan B Imes Jr. | Physician Assistant | Family Medical and Urgent Care Center of Mcdonough, LLC | 1631 Hwy 20 W, Mcdonough, GA 30253 |
| Ricardo Akstein | Ophthalmology | 102 Atlanta St, Mcdonough, GA 30253-2161 | |
| Adam Anglyn | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Derrell W Anglyn Jr. | Family Medicine | Anglyn Family Medical Center, LLC | 55 Sims St, Mcdonough, GA 30253-2320 |
| Humberto C Fallas | Optometry | 69 Griffin St, Mcdonough, GA 30253-3138 | |
| William H Vanlaar | General Practice | 68 Hampton St, Mcdonough, GA 30253-3150 | |
| Galen B Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Jason R Hoover | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| Collin James Rodgers | Chiropractic | Spine Care Chiropractic Center PC | 130 John Frank Ward Blvd, Mcdonough, GA 30253-3207 |
| James E Adams | Optometry | 183 Keys Ferry St, Suite A, Mcdonough, GA 30253-3232 | |
| Find all physicians in zip 30253 | |||
| City | MCDONOUGH |
| Zip Code | 30253 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MCDONOUGH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tina K Jordan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.