Active NPI
Debra Elaine Jordan, D.O.
- Obstetrics & Gynecology Physician
- East Point, GA
National Provider Identifier
1629153689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 032592
- Practice address
- 2739 Felton Dr
East Point, GA 30344-3603 - Phone
- (404) 766-8371
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 032592 | GA | Primary |
Addresses
Primary practice location
2739 Felton Dr
East Point, GA 30344-3603
Mailing address
235 Ryan Rd
Winder, GA 30680-3564
Phone (770) 867-8007
Other names 1
- Debra Elaine Jordan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032592 | GA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629153689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 RYAN RD",
"city": "WINDER",
"state": "GA",
"postal_code": "306803564",
"telephone_number": "770-867-8007",
"fax_number": "770-586-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2739 FELTON DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443603",
"telephone_number": "404-766-8371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DEBRA",
"middle_name": "ELAINE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "032592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "JORDAN",
"middle_name": "ELAINE",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.