Atura Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008197 Issued in GA

Practice address

27 S Main St
Jasper, GA 30143-1600

Phone

(706) 455-7067

Fax

(770) 585-0001

NPI assigned

Oct 17, 2022

Last updated

Dec 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1306562715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HILLTOP LN APT 4B",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305137203",
            "telephone_number": "706-455-7067",
            "fax_number": "678-944-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S MAIN ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431600",
            "telephone_number": "706-455-7067",
            "fax_number": "770-585-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ATURA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "008197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzy Jo, DDS
• John Mauldin PHD LLC
• Sheila R Johnson, LCSW
• Steven Horace Johnson II, B.S., PHARMD
• Jonathan Woolfson, MD, PC
• Tevin Joseph, PHARMACIST
• Jeffrey I Kalish, CRNA
• Verner Terrell Keeling, PHARMACIST
• Kenny Holloway OD PC (The Eye Place)
• Herschel L Kessler, DO

• Clinical Social Worker in Jasper, GA
• Providers in Jasper, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.