Individual provider Active NPI

Jordan Alexandria Doss, FNP, RN

  • Family Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1386472256
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP328109 Issued in GA
Practice address
631 Professional Dr Ste 200
Lawrenceville, GA 30046-3371
Phone
(470) 325-1300
Fax
(470) 325-1301
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP328109 GA Primary

Addresses

Primary practice location

631 Professional Dr Ste 200
Lawrenceville, GA 30046-3371

Mailing address

631 Professional Dr Ste 200
Lawrenceville, GA 30046-3371
Phone (470) 325-1300

Other names 1

  • Jordan Alexandria Snead Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814000825 GA Practitioner - Nurse Practitioner 3870031453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

631 Professional Dr
Suite 200
Lawrenceville, GA 30046-3371
Phone (470) 325-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN-NP328109GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TLC of Georgia LLC Family CurrentSince Oct 25, 2024 Accepting new patients
Theoria Medical CurrentSince Aug 5, 2024 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Jan 9, 2026 Accepting new patients

Locations

1155 W College St
Bainbridge, GA 39819
Phone (229) 243-0931

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

378 Marketplace Pkwy
Dawsonville, GA 30534
Phone (470) 375-1995

2200 Old Hamilton Pl
Gainesville, GA 30507
Phone (770) 532-2006

631 Professional Dr
Ste 200
Lawrenceville, GA 30046
Phone (678) 312-3500

3600 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 420-9170

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1386472256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463371",
            "telephone_number": "470-325-1300",
            "fax_number": "470-325-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463371",
            "telephone_number": "470-325-1300",
            "fax_number": "470-325-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSS",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDRIA",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP328109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SNEAD",
            "middle_name": "ALEXANDRIA",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.