JORDAN KYLE DICKENS CAA
NPI 1144709189
Anesthesiologist Assistant in Sandy Springs, GA

Q: What is Jordan Dickens's NPI number?

The NPI number for Jordan Dickens is 1144709189. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Q: What is Jordan Dickens's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Dickens was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

Active since August 10, 2018Accepts Medicare Assignment

1000 JOHNSON FERRY RD, SANDY SPRINGS, GA 30342(404) 851-8000 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jordan Kyle Dickens Caa NPPES

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

JORDAN KYLE DICKENS CAA (NPI 1144709189) is an individual anesthesiologist assistant in Sandy Springs, Georgia, licensed in Georgia (26626391) and active in the NPI registry since August 2018. He is affiliated with Northside Hospital Cherokee and is a graduate of Other (2018).

NPPES Registry Identity

NPI1144709189

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameJORDAN KYLE DICKENSCredential: CAA

Location Address1000 JOHNSON FERRY RDSandy Springs, GA 30342-1611

Mailing Address4420 Peachtree Rd Ne Apt 2426Brookhaven, GA 30319-2895 · (912) 294-0854

Phone(404) 851-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 10, 2018

✔ NPI 1144709189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 26626391

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1000 JOHNSON FERRY RD, Sandy Springs, GA 30342

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Jordan Kyle Dickens Caa 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 ID4587917885

PECOS Enrollment IDI20181105000281

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110008

Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County

Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

70%83 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

SHELLEY S STATON PAAA

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (770) 645-9181

TYREL FOSTER MD

Nuclear Medicine

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-6323

KEVIN DAVIS

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

NICK TAHER M.D.

Hospitalist

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 851-8000

NORTHSIDE RADIOLOGY ASSOCIATES LLC

Radiology (Diagnostic Radiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (404) 662-2438

TAYEB AHMAD RAHIM

Radiology (Neuroradiology)

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (678) 553-7784

KATHRYN LYNN DEAN NP

Nurse Practitioner

1000 JOHNSON FERRY RD
SANDY SPRINGS, GA 30342

Fulton County (404) 851-6500

VICKI DO

Anesthesiologist Assistant

1000 JOHNSON FERRY RD
ATLANTA, GA 30342

Fulton County (770) 530-6646

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 Jordan Dickens's NPI number?

The NPI number for Jordan Dickens is 1144709189. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Where is Jordan Dickens located?

Jordan Dickens practices at 1000 Johnson Ferry Rd, Sandy Springs, GA 30342. The listed phone number is (404) 851-8000.

What is Jordan Dickens's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Jordan Dickens enrolled in Medicare?

Yes. Jordan Dickens 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.

What insurance does Jordan Dickens accept?

Health plans from Oscar Insurance Company list Jordan Dickens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jordan Dickens affiliated with any hospitals?

According to CMS data, Jordan Dickens is affiliated with Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Jordan Dickens was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.