Active NPI
Jordean Anderson
- Transportation Network Company
- Snellville, GA
National Provider Identifier
1831970235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- License
- 071217669
- Practice address
- 2440 Wisteria Dr Unit 1643
Snellville, GA 30078-4842 - Phone
- (404) 801-4101
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 071217669 | GA | |
| Nurse's Aide | 376K00000X | |||
| Transportation Network Company | 342000000X | 071217669 | GA | Primary |
Addresses
Primary practice location
2440 Wisteria Dr Unit 1643
Snellville, GA 30078-4842
Mailing address
2440 Wisteria Dr
Snellville, GA 30078-0337
Phone (216) 306-7838
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071217669 | GA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Familiar Face Homecare LLC | Transportation Network Company | Current | Accepting new patients |
Locations
2440 Wisteria Dr
Unit 1643
Snellville, GA 30078
Phone (404) 801-4101
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Snellville, GA
- NPI 1902637382
Transportation Network Company
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1831970235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 WISTERIA DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300780337",
"telephone_number": "216-306-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 WISTERIA DR UNIT 1643",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300784842",
"telephone_number": "404-801-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "JORDEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-11",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "071217669",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "GA",
"license": "071217669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.