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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.

TINA JORDAN FNP
NPI 1255703088
Nurse Practitioner - Family in Locust Grove, GA

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
4631 BILL GARDNER PKWY, LOCUST GROVE, GA 30248(770) 630-6281(678) 272-0001 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2026, Feb 9, 2025, Jan 7, 2021 and 1 more (4 updates tracked since 2015).

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

NPI1255703088
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA JORDANCredential: FNP
Location Address4631 BILL GARDNER PKWYLocust Grove, GA 30248-2437
Mailing Address4631 Bill Gardner PkwyLocust Grove, GA 30248-2437 · (770) 630-6281 · Fax (678) 272-0001
Phone(770) 630-6281
Fax(678) 272-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1255703088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN 98431
4631 BILL GARDNER PKWY, Locust Grove, GA 30248
Open in Google Maps ↗

Secondary Practice Locations 11

Location 11101 Wilson Blvd Fl 6Arlington, VA 22209-2281 · Phone (888) 731-8994
Location 24631 Bill Gardner PkwyLocust Grove, GA 30248-2437 · Phone (770) 630-6281 · Fax (678) 272-0001
Location 3222 2nd Ave S Fl 17Nashville, TN 37201-2366 · Phone (888) 731-8994
Location 41 Lawson Ln Ste 200DBurlington, VT 05401-8445 · Phone (888) 731-8994
Location 5421 Fayetteville St Ste 1100Raleigh, NC 27601-3000 · Phone (888) 731-8994
Location 6173 Saint Patricks Dr Ste 104Waldorf, MD 20603-5530 · Phone (888) 731-8994
Location 7999 18th St Ste 3000Denver, CO 80202-2449 · Phone (888) 731-8994
Location 8699 Walnut St Ste 4Des Moines, IA 50309-3949 · Phone (888) 731-8994
Location 96975 S Union Park Ctr Ste 600Cottonwood Heights, UT 84047-4187 · Phone (888) 731-8994
Location 10400 Renaissance Ctr Ste 2600Detroit, MI 48243-1599 · Phone (888) 731-8994
Location 11900 Old Roswell Lakes Pkwy Ste 310Roswell, GA 30076-8667 · Phone (888) 731-8994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

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.

PECOS PAC ID840590014
PECOS Enrollment IDI20250730000635, I20250801003514
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.

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES

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

CARENOVA INC
Nurse Practitioner (Family)
4631 BILL GARDNER PKWY
LOCUST GROVE, GA 30248
Henry County (770) 630-6281

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.

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 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 58 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.