Individual provider Active NPI

Jordean Anderson

  • Transportation Network Company
  • Snellville, GA
National Provider Identifier
1831970235
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation Network CompanyTaxonomy code 342000000X
License
071217669 Issued in GA
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

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
071217669GAMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
A Familiar Face Homecare LLC Transportation Network Company CurrentSince Mar 24, 2025 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.

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.

Verify at the official NPI Registry.