Susan Jordan (NPI# 1336344324, PAC ID# 8325132780) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1336344324 |
| PAC ID by PECOS | 8325132780 |
| Professional Enrollment ID | I20110803000802 |
| Full Name | Susan Jordan |
| Organization Legal Name | ORTHOATLANTA, LLC |
| Address |
1265 Hwy 54 W 102 Fayetteville GA 30214-4537 |
| Phone Number | 7704601900 |
| Gender | F |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3971406885 |
| Number of Group Practice Members | 118 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| 110229 | PIEDMONT NEWNAN HOSPITAL, INC |
| 110083 | PIEDMONT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 | 7704601900 | ORTHOATLANTA, LLC |
| 1265 Hwy 54 W 308, Fayetteville, GA 30214-4537 | 6782160771 | ORTHOATLANTA, LLC |
| Organization Legal Name | ORTHOATLANTA, LLC |
| Physicians | 133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Stallman | Physician Assistant | Orthoatlanta, LLC | 148 Bill Carruth Pkwy, Suite 120, Hiram, GA 30141-3756 |
| Namita Rao | Physical Therapy | Orthoatlanta, LLC | 2785 Hwy 54 W, Peachtree City, GA 30269 |
| Domenic Scalamogna | Orthopedic Surgery | Orthoatlanta, LLC | 354 Newnan Crossing Bypass, Suite 200, Newnan, GA 30265-2323 |
| James V Edwards | Physician Assistant | Orthoatlanta, LLC | 1240 Eagles Landing Pkwy, Suite 300, Stockbridge, GA 30281-5173 |
| Gordon B Harrison Ii | Physical Therapy | Orthoatlanta, LLC | 6002 Professional Pkwy, Suite 140, Douglasville, GA 30134-5603 |
| Marilyn R Lucas | Physical Therapy | Orthoatlanta, LLC | 455 Legends Pl Se, Suite 890, Atlanta, GA 30339-4245 |
| Todd A Schmidt | Orthopedic Surgery | Orthoatlanta, LLC | 1265 Hwy 54 W 308, Fayetteville, GA 30214-4537 |
| Jessica B Miller | Physical Therapy | Orthoatlanta, LLC | 3672 Marathon Cir, Suite 200, Austell, GA 30106-6821 |
| Keith A Lamberson | Orthopedic Surgery | Orthoatlanta, LLC | 771 Old Norcross Rd, Suite 155, Lawrenceville, GA 30046-4979 |
| Ryan C Yolitz | Physical Therapy | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Street Address |
1265 HWY 54 W 102 |
| City | FAYETTEVILLE |
| State | GA |
| Zip | 30214-4537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Yolitz | Physical Therapy | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Ashlea L Cannon | Physician Assistant | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Patricia M Ellis | Physician Assistant | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Kevin Park | Orthopedic Surgery | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Kimberly Diprima | Physician Assistant | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Kristen Busby | Physician Assistant | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Michael Mchenry | Physical Medicine and Rehabilitation | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Jennifer T Maninger | Occupational Therapy | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Courtney Burch | Nurse Practitioner | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Robert Tate | Physical Therapy | Orthoatlanta, LLC | 1265 Hwy 54 W 102, Fayetteville, GA 30214-4537 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan Massey | Nurse Practitioner | Piedmont Providers LLC | 1279 Hwy 54 W, Suite 100, Fayetteville, GA 30214 |
| Connie T Dupre | Internal Medicine | Piedmont Medical Care Corporation | 1267 W Hwy 54, Suite 5200, Fayetteville, GA 30214 |
| Gregory Valentine | Family Medicine | 874 Lanier W Ave, Suite 210, Fayetteville, GA 30214 | |
| Byron F Harper | Internal Medicine | 106 Governors Square Prkwy, Fayetteville, GA 30214 | |
| Kayona Jones Moreland | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Paul Constantine Karagiannis | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Kevin Yang | Urology | Georgia Urology, Pa | 1336 Hwy 54 W, Fayetteville, GA 30214 |
| Angela R Parker | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2100, Fayetteville, GA 30214 |
| Kavita Perumal Krishnasamy | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Rani Shah | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1267 Hwy 54 W, Suite 2200, Fayetteville, GA 30214 |
| Find all physicians in zip 30214 | |||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | FAYETTEVILLE + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Susan 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.