Active NPI
Jordan Ryba, PHYSICIAN ASSISTANT
- Physician Assistant
- East Point, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8951
- Practice address
- 3515 Camp Creek Pkwy Ste 110
East Point, GA 30344-8411 - Phone
- (043) 447-3374
- Fax
- (404) 344-8338
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8951 | GA | Primary |
Addresses
Primary practice location
3515 Camp Creek Pkwy Ste 110
East Point, GA 30344-8411
Mailing address
2454 Briarmoor Rd NE
Atlanta, GA 30345-2112
Phone (770) 630-5341
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mercer University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Old Peachtree Rd NW
Lawrenceville, GA 30043-3308
Phone (678) 335-5400
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2701 Holcomb Bridge Rd
Alpharetta, GA 30022-6812
Phone (770) 998-7611
2925 Buford Dr
Apt 1110
Buford, GA 30519-5222
Phone (678) 535-0400
5438 Peachtree Blvd
Chamblee, GA 30341-2232
Phone (470) 816-0988
6660 Roswell Nerd
Sandy Springs, GA 30328-3167
Phone (404) 996-0195
789 Church St NE
Suite 200
Marietta, GA 30060-7238
Phone (770) 881-7964
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician'S Express Care at Creekstone | Current | Accepting new patients | |
| Physicians Express Care LLC | Past | Accepting new patients |
Locations
1780 Peachtree Pkwy
#302
Cumming, GA 30041
Phone (470) 275-6230
2730 Peachtree Industrial Blvd
Ste 101
Duluth, GA 30097
Phone (404) 548-8850
11758 Jones Bridge Rd
Johns Creek, GA 30005
900 Towne Lake Pkwy
Ste 104
Woodstock, GA 30189
Phone (770) 639-5880
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
- Urgent Care Clinic/Center
- Alpharetta, GA
- NPI 1528336674
-
- Urgent Care Clinic/Center
- Cumming, GA
- NPI 1578955795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1558844902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2454 BRIARMOOR RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452112",
"telephone_number": "770-630-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 CAMP CREEK PKWY STE 110",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303448411",
"telephone_number": "043-447-3374",
"fax_number": "404-344-8338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBA",
"first_name": "JORDAN",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2023-10-05",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "8951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.