DR. QUINCY JEROME JORDAN SR. MD
NPI 1093888687
Family Medicine in Montezuma, GA

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
509 SUMTER ST, MONTEZUMA, GA 31063(478) 472-3100(478) 472-3248 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Quincy Jerome Jordan Sr. Md NPPES

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

DR. QUINCY JEROME JORDAN SR. MD (NPI 1093888687) is an individual family medicine provider in Montezuma, Georgia, licensed in Georgia (033367) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Flint River Community Hospital, and maintains a secondary practice location in Montezuma.

NPPES Registry Identity

NPI1093888687
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. QUINCY JEROME JORDAN SR.Credential: MD
Location Address509 SUMTER STMontezuma, GA 31063
Mailing Address509 Sumter StMontezuma, GA 31063-1733 · (478) 472-3100 · Fax (478) 472-3248
Fax(478) 472-3248
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1986
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 16, 2018
NPI 1093888687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 033367
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

509 SUMTER ST, Montezuma, GA 31063

Secondary Practice Location 1

Location 1502 Sumter StMontezuma, GA 31063-1734 · Phone (478) 472-8178 · Fax (478) 472-3289

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Quincy Jerome Jordan Sr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466349220
PECOS Enrollment IDI20040304000531
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
50 services47 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Flint River Community Hospital

Acute Care Hospitals · Montezuma, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110190
Location509 Sumter Street, Box 770Montezuma, GA 31063 · Dooly County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Surgery
509 SUMTER ST, SUITE D
MONTEZUMA, GA 31063
Pharmacist
509 SUMTER ST
MONTEZUMA, GA 31063
General Acute Care Hospital
509 SUMTER ST
MONTEZUMA, GA 31063
Clinic/Center (Primary Care)
509 SUMTER ST, SUITE D
MONTEZUMA, GA 31063
Emergency Medicine
509 SUMTER ST
MONTEZUMA, GA 31063
General Acute Care Hospital
509 SUMTER ST
MONTEZUMA, GA 31063
Emergency Medicine
509 SUMTER ST
MONTEZUMA, GA 31063
General Acute Care Hospital (Rural)
509 SUMTER ST
MONTEZUMA, GA 31063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093888687, enumerated as an "individual" on November 15, 2006.

The provider is located at 509 SUMTER ST MONTEZUMA, GA 31063 and the phone number is (478) 472-3100.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Quincy Jordan is affiliated with: FLINT RIVER COMMUNITY HOSPITAL.