SAMANTHA R JORDAN PSYD
NPI 1366786527
Psychologist in Marietta, GA
About Samantha R Jordan Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA R JORDAN PSYD (NPI 1366786527) is an individual psychologist in Marietta, Georgia, licensed in Georgia (PSY003632) and active in the NPI registry since November 2012. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Samantha R Jordan Psyd 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
2Medicare enrollment records show Samantha Jordan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 6 clinicians in this Medicare group
Douglasville, GA 30134
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Samantha Jordan's NPI number?
The NPI number for Samantha Jordan is 1366786527. It was assigned to this individual provider in the NPPES registry on November 12, 2012.
Where is Samantha Jordan located?
Samantha Jordan practices at 2520 Windy Hill Rd SE Suite 203, Marietta, GA 30067. The listed phone number is (770) 953-6401.
What is Samantha Jordan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Samantha Jordan enrolled in Medicare?
Yes. Samantha 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 Samantha Jordan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jordan reassigns Medicare benefits to 2 organizations: Atlanta Area Psychological Associates, P.C. (Marietta, GA) and Insight Psychological Solutions LLC (Douglasville, GA). 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 Samantha Jordan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Jordan accept?
Health plans from Oscar Health list Samantha 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 Samantha Jordan was last updated on November 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.