Terri Gurrola Jordan, PA-C, MPAS, APA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003981 Issued in GA

Practice address

700 Center St
Suite 102
Columbus, GA 31901

Phone

(706) 571-1011

Fax

(706) 320-8646

NPI assigned

Apr 28, 2006

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

Other names 1

• Terri Lynn Gurrola Former name

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care EmergenceGroup PAC ID 4981957032, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terri.jordan.1@19151.direct.athenahealth.com

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.

• Acute Care Emergence

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1225539760

  GA

  Medicare reassignment Care Compare group
• Acute Care Emergence

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1770066268
  NPD Authorized official
• Acute Care Emergence LLC

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1841765633
  NPD Authorized official
• Columbus Ambulatory Healthcare Services, Inc.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1750349635
  NPD (past)
• Inphynet Primary Care Physician Southeast PC - Acute Care Express

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1669543815
  NPD (past)
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460

  Physician Assistant

  NPD (past)
• Sterling Emergency Services of the Southeast Inc

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1992763627
  NPD (past)
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Phenix City, AL
  • NPI 1699240531
  NPD (past)
• U.S. Healthworks Medical Group of Georgia, Inc.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Valencia, CA
  • NPI 1376523175
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1639136997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 VETERANS PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091723",
            "telephone_number": "706-321-1223",
            "fax_number": "706-321-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CENTER ST",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-571-1011",
            "fax_number": "706-320-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TERRI",
        "middle_name": "GURROLA",
        "credential": "PA-C, MPAS, APA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "GURROLA",
            "middle_name": "LYNN",
            "credential": "PA-C, MPAS, APA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Jordan
• Hannah Lee Jordan, BCBA
• Holly Jordan, APRN
• Jacqueline Jordan, MA
• Joycelyn Denise Jordan
• Tremaine Jordan
• Channelle Jose
• Joseliglo Inc
• Joseph S. Hurst, M.D.,P.C.
• Alphonsa Joseph, FNP

• All providers in Columbus, GA
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.

Verify at the official NPI Registry.