JORDAN S RUSH (MD) – Obstetrics & Gynecology Physician, NPI 1811981756

JORDAN S RUSH (MD) is a healthcare provider. based in Canton, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 60319 (GA). The NPI Number for JORDAN S RUSH (MD) is 1811981756

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN S RUSH (MD)
NPI
1811981756
Phone
(770) 720-8551
Address
10515 BELLS FERRY RD
Enumeration Date
7 September 2005
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
1990 (36 years ago)
PAC ID
2264624949
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20101013000765
Address ID
GA301527742KE5150XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

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Provider Addresses for JORDAN S RUSH (MD)

  • 10515, Bells Ferry Road, South Canton, Canton, Cherokee County, Georgia, 30114, United States

    SUITE 200

    CANTON, GA 301144204

    Phone: (770) 720-8551

    Fax: (770) 345-2738

    Type: Location

  • 3611 SHAMANS WALK

    MARIETTA, GA 300621063

    Phone: (404) 434-7785

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2023-10-06 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($43).

Total Amount

$157

General + Research + Ownership

Payments

8

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-06

Latest reported date

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: 2010-10-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101013000765IObstetrics/GynecologyGATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2721$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2020$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1414$0
View full utilization report →

Insurance plans in this area (ZIP 30114)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Does JORDAN S RUSH (MD) have a public NPI I can cite?
Public records show JORDAN S RUSH (MD) under NPI 1811981756.
Does the public listing show JORDAN S RUSH (MD) as active?
JORDAN S RUSH (MD)'s NPI record reflects an active status in NPPES.
What services align with JORDAN S RUSH (MD)'s listing?
JORDAN S RUSH (MD)'s public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JORDAN S RUSH (MD) in Canton, Georgia?
For routing, start with Canton, Georgia for JORDAN S RUSH (MD), then verify phone and hours locally.
Why is information missing for JORDAN S RUSH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.