Jordan Johanssen Patton (NPI# 1659754398, PAC ID# 4183913395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1659754398 |
| PAC ID by PECOS | 4183913395 |
| Professional Enrollment ID | I20190606002123 |
| Full Name | Jordan Johanssen Patton |
| Address |
266 Orvin Lance Dr Suite 5 Blue Ridge GA 30513-8054 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2015 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 266 Orvin Lance Dr, Suite 5, Blue Ridge, GA 30513-8054 |
| Street Address |
266 ORVIN LANCE DR SUITE 5 |
| City | BLUE RIDGE |
| State | GA |
| Zip | 30513-8054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Andrew Krout | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Renee S Rimmer | Optometry | 3831 E 1st St, Blue Ridge, GA 30513 | |
| Angela Mundy Swartz | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Brittany Northcutt | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Michael W Darnell | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Kristen Farist | Physical Therapy | North Georgia Physical Therapy | 5425 Appalachian Hwy, Suite 2, Blue Ridge, GA 30513 |
| Ronald T Jabaley Ii | Internal Medicine | 6 Elm St, Blue Ridge, GA 30513-2906 | |
| Kenney S Atkins | General Practice | 4799 Blue Ridge Dr, Suite 100, Blue Ridge, GA 30513-3240 | |
| Nancy E Chancey | Clinical Social Worker | 4528 Lickskillet Rd, Blue Ridge, GA 30513-3446 | |
| Joel Yagoda | Optometry | Jumpstart Fitness | 97 Commerce Dr, Blue Ridge, GA 30513-3677 |
| Find all physicians in zip 30513 | |||
| City | BLUE RIDGE |
| Zip Code | 30513 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BLUE RIDGE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jordan Johanssen Patton.
| 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.