TINA JORDAN (FNP) – Family Nurse Practitioner, NPI 1255703088
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,744 NURSE PRACTITIONER in GA
Provider Addresses for TINA JORDAN (FNP)
900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 300768667
Phone: (888) 731-8994
Type: Location
421 Fayetteville St Ste 1100
Raleigh, NC 276013000
Phone: (888) 731-8994
Type: Location
173 Saint Patricks Dr Ste 104
Waldorf, MD 206035530
Phone: (888) 731-8994
Type: Location
101 DELUXE CIR
SUITE B
THOMASTON, GA 302863030
Phone: (706) 647-7509
Fax: (706) 647-6624
Type: Location
345 HUNTINGTON PLACE CT
MCDONOUGH, GA 302538651
Phone:
Type: Mailing
699 Walnut St Ste 4
Des Moines, IA 503093949
Phone: (888) 731-8994
Type: Location
400 Renaissance Ctr Ste 2600
Detroit, MI 482431599
Phone: (888) 731-8994
Type: Location
1101 Wilson Blvd Fl 6
Arlington, VA 222092281
Phone: (888) 731-8994
Type: Location
6975 S Union Park Ctr Ste 600
Cottonwood Heights, UT 840474187
Phone: (888) 731-8994
Type: Location
222 2nd Ave S Fl 17
Nashville, TN 372012366
Phone: (888) 731-8994
Type: Location
999 18th St Ste 3000
Denver, CO 802022449
Phone: (888) 731-8994
Type: Location
1 Lawson Ln Ste 200D
Burlington, VT 054018445
Phone: (888) 731-8994
Type: Location
600 HIGHPOINT WAY
MCDONOUGH, GA 302534699
Phone: (404) 606-8430
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 121 Open Payments records for all available years, with a total value of $2,569.
Total Amount is formed as General ($2,569) + Research ($0) + Ownership ($0) = $2,569.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($527).
Total Amount
$2,569
General + Research + Ownership
Payments
121
Total payment records
General Amount
$2,569
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $527 |
| Novo Nordisk Inc | $431 |
| Lilly USA, LLC | $300 |
| AstraZeneca Pharmaceuticals LP | $279 |
| Bayer Healthcare Pharmaceuticals Inc. | $166 |
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: 2025-08-01
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20151120000872 | I | Nurse Practitioner | GA | TBD |
| I20250801003514 | I | Nurse Practitioner | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30076)
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Reviews
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