Jordan Nix Ralston, P.A.-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

7981 Issued in GA

Practice address

1108 Professional Blvd
Dalton, GA 30720-2588

Phone

(706) 226-7546

Fax

(706) 529-6628

NPI assigned

Dec 20, 2016

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

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Dalton Dermatology & Day Spa, LLC

  • Dermatology Physician
  • Dalton, GA
  • NPI 1033557160
  NPD (past)

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1730624255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-7546",
            "fax_number": "706-529-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PROFESSIONAL BLVD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202588",
            "telephone_number": "706-226-7546",
            "fax_number": "706-529-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "JORDAN",
        "middle_name": "NIX",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Radabaugh, LCSW
• Kevin Lee Ragsdale, D.D.S.
• Mansoor Rahman, MBBS
• Suzan Kethley Raines, PT, DPT
• Aimee Elizabeth Raley
• Tharmathai Thammi Ramanan, MD
• Jazma Renee Ramsey- Gay
• Jasneet Randhawa, MD
• Lyndsey Renee Randolph, FNP-BC
• Varin Sandip Rangwala, M.B.B.S

• Dermatology Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.