JORDAN MARTINEC – Physician Assistant, NPI 1679950729

JORDAN MARTINEC is a healthcare provider. based in Lagrange, Georgia. specializing in PHYSICIAN ASSISTANT. The NPI Number for JORDAN MARTINEC is 1679950729

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN MARTINEC
NPI
1679950729
Phone
(706) 882-1411
Address
1514 Vernon Rd
Enumeration Date
28 April 2015
Last Update Date
13 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7066685140
Graduation Year
2015 (11 years ago)
PAC ID
7911212154
Group Practice PAC ID
7113250325
Professional Enrollment ID
I20211207001887
Address ID
GA302404037LA2169XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for JORDAN MARTINEC

  • 1514 Vernon Rd

    LaGrange, GA 30240

    Phone: (706) 882-1411

    Type: Location

  • 47 HANSON DR

    LAGRANGE, GA 302408674

    Phone:

    Type: Mailing

  • 1514 VERNON RD

    LAGRANGE, GA 30240

    Phone: (706) 882-1411

    Type: Location

  • 153 S College St

    Hamilton, GA 318115306

    Phone: (706) 801-0251

    Type: Location

  • 2000 Samglenn Dr Ste 200

    Auburn, AL 368306549

    Phone: (334) 752-7022

    Type: Location

  • 2169 W POINT RD

    LAGRANGE, GA 302404002

    Phone: (706) 668-5140

    Fax: (159) 822-3844

    Type: Mailing

  • 125 SMOKEMONT DR

    LAGRANGE, GA 302419434

    Phone: (706) 881-5550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Novo Nordisk Inc ($20).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-12-07

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150817001594IPhysician AssistantGATBD
I20211207001887IPhysician AssistantALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg49545$0
99213Established patient office or other outpatient visit, 20-29 minutes161134$0
J0696Injection, ceftriaxone sodium, per 250 mg14435$0
96372Injection of drug or substance under skin or into muscle10765$0
99203New patient office or other outpatient visit, 30-44 minutes5757$0
View full utilization report →

Insurance plans in this area (ZIP 30240)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113250325View full group profile
NameSpecialtyState
Physician AssistantNM
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerGA
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the registry number for JORDAN MARTINEC?
The registry entry for JORDAN MARTINEC shows NPI 1679950729.
Should I treat JORDAN MARTINEC as an active provider?
Patients and plans typically see JORDAN MARTINEC as active in the national extract.
What does the directory say JORDAN MARTINEC does?
Insurance directories may phrase it differently, but here JORDAN MARTINEC maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit JORDAN MARTINEC in Lagrange, Georgia?
For routing, start with Lagrange, Georgia for JORDAN MARTINEC, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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