DR. QUINCY JEROME SR. JORDAN (MD) – Family Medicine Physician, NPI 1093888687
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,103 FAMILY PRACTICE in GA
Provider Addresses for DR. QUINCY JEROME SR. JORDAN (MD)
502 Sumter St
Montezuma, GA 310631734
Phone: (478) 472-8178
Fax: (478) 472-3289
Type: Location
Flint River Hospital, 509, Sumter Street, Montezuma, Macon County, Georgia, 31063, United States
MONTEZUMA, GA 310631733
Phone: (478) 472-3100
Fax: (478) 472-3248
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $97.
Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($64).
Total Amount
$97
General + Research + Ownership
Payments
5
Total payment records
General Amount
$97
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boehringer Ingelheim Pharmaceuticals, Inc. | $64 |
| Lilly USA, LLC | $33 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040304000531 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 39 | 35 | $0 |
Insurance plans in this area (ZIP 31063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | KY | |
| - | GA | |
| P S Y C H I A T R Y | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| P S Y C H I A T R Y | GA | |
| - | GA | |
| Emergency Medicine, Internal Medicine, Internal Medicine | GA |
Reviews
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