TINA JORDAN FNP
NPI 1255703088
Nurse Practitioner - Family in Locust Grove, GA
About Tina Jordan Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA JORDAN FNP (NPI 1255703088) is an individual family provider in Locust Grove, Georgia, licensed in Georgia (RN 98431) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 11
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tina Jordan Fnp 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.
Medicare Billing Reassignments
6Medicare enrollment records show Tina Jordan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Locust Grove, GA 30248
- Reassigned Medicare billing, Georgia enrollment
Locust Grove, GA 30248
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Fayetteville, GA 30214
- Reassigned Medicare billing, Georgia enrollment
- 759 clinicians in this Medicare group
Peachtree City, GA 30269
- Reassigned Medicare billing, Georgia enrollment
- 14 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Utah enrollment
- 49 clinicians in this Medicare group
Salt Lake City, UT 84115
- Reassigned Medicare billing, Utah enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30248 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tina Jordan's NPI number?
The NPI number for Tina Jordan is 1255703088. It was assigned to this individual provider in the NPPES registry on October 20, 2015.
Where is Tina Jordan located?
Tina Jordan practices at 4631 Bill Gardner Pkwy, Locust Grove, GA 30248. The listed phone number is (770) 630-6281.
What is Tina Jordan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tina Jordan enrolled in Medicare?
Yes. Tina 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.
Which organizations bill Medicare for Tina Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Jordan reassigns Medicare benefits to 6 organizations: Carenova Inc (Locust Grove, GA), Locust Grove Family Medicine (Locust Grove, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA), Magnolia Ent, LLC (Peachtree City, GA), Post Acute Medical PLLC (Lanham, MD) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Jordan accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Tina Jordan 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.
When was this NPI record last updated?
The NPPES record for Tina Jordan was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tina Jordan, FNP · NPI 1255703088
Family physician in Locust Grove, Georgia. Individual provider, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1255703088 (Entity type: Individual)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN 98431 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4631 BILL GARDNER PKWY, Locust Grove, GA 30248-2437
- **Phone:** (770) 630-6281 · **Fax:** (678) 272-0001
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Carenova Inc (NPI 1245122670, Locust Grove, GA); Locust Grove Family Medicine (NPI 1629169164, Locust Grove, GA); Privia Medical Group Of Georgia LLC (NPI 1013313857, Fayetteville, GA); Magnolia Ent, LLC (NPI 1720828395, Peachtree City, GA); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255703088) · Data from the CMS NPPES public registry.