MRS. LENISE MARLENA JORDAN NP-C
NPI 1639595309
Nurse Practitioner - Family in South Fulton, GA

Active since March 05, 2014PECOS EnrolledAccepts Medicare Assignment
6085 OLD NATIONAL HWY STE G, SOUTH FULTON, GA 30349(844) 644-4325(855) 583-3678 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2024, Sep 20, 2018 (2 updates tracked since 2018).

About Mrs. Lenise Marlena Jordan Np-c NPPES

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

MRS. LENISE MARLENA JORDAN NP-C (NPI 1639595309) is an individual family provider in South Fulton, Georgia, licensed in Georgia (RN162420) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1639595309
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LENISE MARLENA JORDANCredential: NP-C
Location Address6085 OLD NATIONAL HWY STE GSouth Fulton, GA 30349-4333
Mailing Address6085 Old National Hwy Ste GSouth Fulton, GA 30349-4333 · (844) 644-4325 · Fax (855) 583-3678
Fax(855) 583-3678
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 5, 2014
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1639595309 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 · RN162420
6085 OLD NATIONAL HWY STE G, South Fulton, GA 30349

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

Mrs. Lenise Marlena Jordan Np-c 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 ID3476778085
PECOS Enrollment IDI20140715000928
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.

Areas of Expertise CMS Part B claims

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30349 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 3

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

Nurse Practitioner (Primary Care)
6085 OLD NATIONAL HWY STE G
SOUTH FULTON, GA 30349
Nurse Practitioner
6085 OLD NATIONAL HWY STE G
ATLANTA, GA 30349
Internal Medicine
6085 OLD NATIONAL HWY STE G
SOUTH FULTON, GA 30349

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 Lenise Jordan's NPI number?

The NPI number for Lenise Jordan is 1639595309. It was assigned to this individual provider in the NPPES registry on March 5, 2014.

Where is Lenise Jordan located?

Lenise Jordan practices at 6085 Old National Hwy Ste G, South Fulton, GA 30349. The listed phone number is (844) 644-4325.

What is Lenise Jordan's specialty?

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

Is Lenise Jordan enrolled in Medicare?

Yes. Lenise 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.

When was this NPI record last updated?

The NPPES record for Lenise Jordan was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.