Darrell W Jordan (NPI# 1346258704, PAC ID# 9830340322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1346258704 |
| PAC ID by PECOS | 9830340322 |
| Professional Enrollment ID | I20121109000191 |
| Full Name | Darrell W Jordan |
| Organization Legal Name | UNITED OBSTETRICS AND GYNECOLOGY PC |
| Address |
1948 Old Ocilla Rd Tifton GA 31794-1644 |
| Phone Number | 2293913500 |
| Gender | M |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6608835046 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1948 Old Ocilla Rd, Tifton, GA 31794-1644 | 2293913500 | UNITED OBSTETRICS AND GYNECOLOGY PC |
| Organization Legal Name | UNITED OBSTETRICS AND GYNECOLOGY PC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Gail Brickman | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Nathan Mordel | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1806 Lee Ave, Tifton, GA 31794-3639 |
| James Howard | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Bridgett Lowe Asbury | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Ana Margarita Margarita Hernandez Silen | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Kaylar Howard | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Michael L Edmondson | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Asa A Peek | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Street Address |
1948 OLD OCILLA RD |
| City | TIFTON |
| State | GA |
| Zip | 31794-1644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Gail Brickman | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| James Howard | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Bridgett Lowe Asbury | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Ana Margarita Margarita Hernandez Silen | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Kaylar Howard | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Michael L Edmondson | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Albert Handal | Obstetrics/gynecology | Womens Center for Advanced Surgery Inc | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Asa A Peek | Obstetrics/gynecology | United Obstetrics and Gynecology PC | 1948 Old Ocilla Rd, Tifton, GA 31794-1644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Koester | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Brenda S Reeves | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| David J Zelman | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Carolyn J Felton | Rheumatology | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Rebekah Anne Foster | Qualified Speech Language Pathologist | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Amber Nicole Barker | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Joye Christina Ellis | Nurse Practitioner | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Autumn D Griffin | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Hillary D Heitzman | Occupational Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Grace Anne Reed | Physical Therapy | Tift Regional Health System, Inc. | 2227 Us Hwy 41 N, Tifton, GA 31794 |
| Find all physicians in zip 31794 | |||
| City | TIFTON |
| Zip Code | 31794 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | TIFTON + OBSTETRICS/GYNECOLOGY |
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| 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.