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JORDAN GULLEY
NPI 1609400183
Nurse Practitioner - Family in Ringgold, GA

Active since February 24, 2020PECOS EnrolledAccepts Medicare Assignment
4645 BATTLEFIELD PKWY, RINGGOLD, GA 30736(423) 648-2362(423) 648-9294 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 29, 2026, Feb 24, 2020 (2 updates tracked since 2020).

About Jordan Gulley NPPES

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

JORDAN GULLEY (NPI 1609400183) is an individual family provider in Ringgold, Georgia, licensed in Georgia (GAA-NP004482) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609400183
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN GULLEY
Location Address4645 BATTLEFIELD PKWYRinggold, GA 30736-8011
Mailing Address2004 Hayes St Ste 800Nashville, TN 37203-2659 · (615) 329-0570 · Fax (615) 329-0579
Phone(423) 648-2362
Fax(423) 648-9294
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 24, 2020
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
✔ NPI 1609400183 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 · GAA-NP004482
4645 BATTLEFIELD PKWY, Ringgold, GA 30736
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.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

Jordan Gulley 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 ID4981026457
PECOS Enrollment IDI20200630001006
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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Gulley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tennessee Oncology, PLLC
2.5 mi
Medical Oncology
4645 BATTLEFIELD PKWY
Ringgold, GA 30736
  • Reassigned Medicare billing, Georgia and Tennessee enrollments
  • Also billed through NPI 1912623364 (Tennessee)
  • 25 clinicians in this Medicare group
NPI 1881212553 (423) 648-2362

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
244 services19 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
37 services31 patients
Injection of additional new drug or substance into vein 96375
This procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
24 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
Infusion, normal saline solution , 1000 cc J7030
An infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30736 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 3

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

JAIME ELAINE PESL NP-C
Nurse Practitioner
4645 BATTLEFIELD PKWY
RINGGOLD, GA 30736
Catoosa County (423) 648-2362
ANGELA MARIE PARRISH
Nurse Practitioner
4645 BATTLEFIELD PKWY
RINGGOLD, GA 30736
Catoosa County (423) 648-2362
TENNESSEE ONCOLOGY, PLLC
Internal Medicine (Medical Oncology)
4645 BATTLEFIELD PKWY
RINGGOLD, GA 30736
Catoosa County (423) 648-2362

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 Gulley's NPI number?

The NPI number for Jordan Gulley is 1609400183. It was assigned to this individual provider in the NPPES registry on February 24, 2020.

Where is Jordan Gulley located?

Jordan Gulley practices at 4645 Battlefield Pkwy, Ringgold, GA 30736. The listed phone number is (423) 648-2362.

What is Jordan Gulley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Gulley enrolled in Medicare?

Yes. Jordan Gulley 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 organization bills Medicare for Jordan Gulley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Gulley reassigns Medicare benefits to Tennessee Oncology, PLLC (Ringgold, GA). The 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 Jordan Gulley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Gulley accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Jordan Gulley 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 Jordan Gulley was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.