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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE JORDAN
NPI 1073479226
Peer Specialist in Stockbridge, GA

Active since December 31, 2025
301 RUGGED CREEK DR, STOCKBRIDGE, GA 30281(678) 782-3485(678) 782-3479 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Dec 31, 2025 (2 updates tracked since 2025).

About Nicole Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JORDAN (NPI 1073479226) is an individual peer specialist in Stockbridge, Georgia and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1073479226
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE JORDAN
Location Address301 RUGGED CREEK DRStockbridge, GA 30281-4570
Mailing Address301 Rugged Creek DrStockbridge, GA 30281-4570 · (678) 782-3485 · Fax (678) 782-3479
Phone(678) 782-3485
Fax(678) 782-3479
Sole ProprietorNo
Enumeration DateDecember 31, 2025
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1073479226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedBehavior TechnicianTaxonomy 106S00000X
301 RUGGED CREEK DR, Stockbridge, GA 30281
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

C.E.L.F. ELITE PRIVATE HOME CARE LLC
Respite Care (Respite Care, Intellectual and/or Developmental Disabilities)
301 RUGGED CREEK DR
STOCKBRIDGE, GA 30281
Henry County (478) 447-1503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Jordan's NPI number?

The NPI number for Nicole Jordan is 1073479226. It was assigned to this individual provider in the NPPES registry on December 31, 2025.

Where is Nicole Jordan located?

Nicole Jordan practices at 301 Rugged Creek Dr, Stockbridge, GA 30281. The listed phone number is (678) 782-3485.

What is Nicole Jordan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nicole Jordan was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.