Individual provider Active NPI

Wronda Jo Jordan, CNM

  • Advanced Practice Midwife
  • Marietta, GA
National Provider Identifier
1801886536
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN093291 Issued in GA
Practice address
833 Campbell Hill St NW Ste 400
Marietta, GA 30060-1147
Phone
(770) 528-0260
Fax
(770) 528-0269
NPI assigned
Oct 25, 2005
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN093291 GA Primary

Addresses

Primary practice location

833 Campbell Hill St NW Ste 400
Marietta, GA 30060-1147

Mailing address

833 Campbell Hill St NW # St400
Marietta, GA 30060-1134
Phone (770) 528-0260

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000529 GA Practitioner - Certified Nurse Midwife (CNM) 2466530886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN093291GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 29, 2012 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 29, 2012 Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Wellstar Northwest Women's Care, LLC Past Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

833 Campbell Hill St NW
Ste 400
Marietta, GA 30060
Phone (770) 528-0260

Interoperability endpoints

  • Direct secure messaging: wjordan10664@directwellstar.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1801886536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW # ST400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601134",
            "telephone_number": "770-528-0260",
            "fax_number": "770-528-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601147",
            "telephone_number": "770-528-0260",
            "fax_number": "770-528-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "WRONDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN093291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.