Jordan Seabolt Poole

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892

Phone

(703) 506-0123

Fax

(866) 857-0246

NPI assigned

Mar 3, 2013

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1362268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1497096382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WESTCHESTER DR",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301206448",
            "telephone_number": "770-547-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLONIAL CENTER PKWY STE 100N",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764892",
            "telephone_number": "703-506-0123",
            "fax_number": "866-857-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JORDAN",
        "middle_name": "SEABOLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-03",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Polana, LMSW
• Jill Sherri Polisner-Kruljac, LPC
• Charles V Pollack Jr., MD
• Shira Preiser Pollio
• Shivanthi Ponniah, FNP
• Chirag D Popat, MD
• Maria Isabel Posada
• Samantha Potrzebowski, DC
• Erin Marjorie Potter Faile, LPMT, MT-BC
• Denise Marie Powell, PT

• Behavior Analyst in Roswell, GA
• Providers in Roswell, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.