Active NPI
Tonya Jordan, M.D.
- Colon & Rectal Surgery Physician
- Atlanta, GA
National Provider Identifier
1679761613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 60282
- Practice address
- 95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796 - Phone
- (404) 350-7955
- Fax
- (404) 350-9155
- NPI assigned
- Oct 3, 2007
- 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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 60282 | GA | Primary |
Addresses
Primary practice location
95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796
Mailing address
95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796
Phone (404) 574-5820
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60282 | GA | MD | Colon & Rectal Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1679761613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW",
"address_2": "SUITE 4025",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091796",
"telephone_number": "404-574-5820",
"fax_number": "404-574-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 COLLIER RD NW",
"address_2": "SUITE 4025",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091796",
"telephone_number": "404-350-7955",
"fax_number": "404-350-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TONYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-03",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "GA",
"license": "60282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.