Jordan Ahnert, APRN
Individual provider Active NPI Cardiovascular Disease Physician · Brunswick, GA
NPI 1124500939 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1124500939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- RN243116 (GA)
- Practice address
- 3226 Hampton Ave Ste a
Brunswick, GA 31520-4226 - Phone
- (912) 264-0760
- NPI assigned
- Aug 29, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cooperative Healthcare Services Inc
Practice addresses (Care Compare)
2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079
Hospital & facility affiliations
- Southeast Georgia Health System- Brunswick Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.36 of 100
- Quality
- 46.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.31
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191018001869 | GA | Practitioner - Nurse Practitioner | 4385987072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Current |
Accepting new patients | |
| Southeastern Surgical Associates | Past | Accepting new patients |
Locations
2500 Starling St
Ste 201
Brunswick, GA 31520
Phone (912) 265-5125
2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079
2040 Dan Proctor Dr
Ste 240
Saint Marys, GA 31558
Phone (912) 576-6340
Interoperability endpoints
- jahnert@secure.sghsmessaging.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | RN243116 | GA | Yes |
Addresses
Primary practice location
3226 Hampton Ave Ste a
Brunswick, GA 31520-4226
Mailing address
3226 Hampton Ave Ste a
Brunswick, GA 31520-4226
Phone (912) 264-0760
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN243116 | Other | PROFESSINAL LICENSE |
Other providers in Brunswick, GA
- Agape Compassionate Care
- Aftab Ahmad
- Ahmed Elsharkawi MD LLC
- Ahmed Elsharkawi, MD LLC
- Baylee Ahnert
- Usman Akbar
- Olajide Tolulope Akeju
- Rafael Alba Yunen
- Nicole Alba
- Wendy Teston Alberson
All providers in Brunswick, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.