Sharon Snell Jordan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009686 Issued in GA

Practice address

2614 Cherokee Ave
Macon, GA 31204-3924

Phone

(478) 743-3583

Fax

(478) 743-8847

NPI assigned

Apr 7, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422144000000",
    "number": "1316237688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043924",
            "telephone_number": "678-230-6929",
            "fax_number": "478-743-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CHEROKEE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312043924",
            "telephone_number": "478-743-3583",
            "fax_number": "478-743-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHARON",
        "middle_name": "SNELL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2015-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254878C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zoe J Jones, M.D.
• Amelia Joo, FNP
• Desiree Jordan
• Katrina Michelle Jordan, NP
• Melisa Leola Jordan
• Vaishali Jordan
• Dennis Kent Jorgensen, MD
• Joseph a Davis MD LLC
• Joseph Burnette, LLC
• Livia Joseph-Medina, MS, BCBA

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.