RODNEY DEWAYNE JORDAN JR. AGACNP-BC
NPI 1124903646
Nurse Practitioner - Acute Care in Atlanta, GA
About Rodney Dewayne Jordan Jr. Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODNEY DEWAYNE JORDAN JR. AGACNP-BC (NPI 1124903646) is an individual acute care provider in Atlanta, Georgia, licensed in Georgia (RN300253) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Rodney Dewayne Jordan Jr. Agacnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30303
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 Rodney Jordan's NPI number?
The NPI number for Rodney Jordan is 1124903646. It was assigned to this individual provider in the NPPES registry on August 6, 2025.
Where is Rodney Jordan located?
Rodney Jordan practices at 80 Jesse Hill Jr Dr SE, Atlanta, GA 30303. The listed phone number is (404) 616-1000.
What is Rodney Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Rodney Jordan enrolled in Medicare?
Yes. Rodney Jordan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Rodney Jordan affiliated with any hospitals?
According to CMS data, Rodney Jordan is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Rodney Jordan was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Rodney Dewayne Jordan Jr., AGACNP-BC · NPI 1124903646
Acute Care physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since August 6, 2025.
## Identity
- **NPI:** 1124903646 (Entity type: Individual)
- **Enumerated:** August 6, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** RN300253 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 JESSE HILL JR DR SE, Atlanta, GA 30303-3050
- **Phone:** (404) 616-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1124903646) · Data from the CMS NPPES public registry.