1. Home
  2. Directory
  3. Georgia
  4. Palmetto
  5. Dentist
  6. NPI Profile

DR. JORDAN ALBERT BRUNSON D.D.S.
NPI 1861631053
Dentist - General Practice in Palmetto, GA

Active since February 11, 2009PECOS Enrolled
501 PARK ST, PALMETTO, GA 30268(770) 463-4541(770) 463-9184 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jordan Albert Brunson D.d.s. NPPES

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

DR. JORDAN ALBERT BRUNSON D.D.S. (NPI 1861631053) is an individual general practice provider in Palmetto, Georgia, licensed in Georgia (DN013693) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1861631053
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JORDAN ALBERT BRUNSONCredential: D.D.S.
Location Address501 PARK STPalmetto, GA 30268-1007
Mailing Address501 Park StPalmetto, GA 30268-1007 · (770) 463-4541 · Fax (770) 463-9184
Phone(770) 463-4541
Fax(770) 463-9184
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 11, 2009
Last NPPES UpdateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1861631053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN013693
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
501 PARK ST, Palmetto, GA 30268
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 (PECOS)

Dr. Jordan Albert Brunson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779825963
PECOS Enrollment IDI20260622001897
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 Brunson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Palmetto Sleep PC
28 mi
Health Service
70 WESTRIDGE PKWY STE 100
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
NPI 1679272017 (770) 898-3192

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 30268 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
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 5

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

DR. GARY LANE WATTS DMD
Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Fulton County (770) 463-4541
GARY L. WATTS DMD PC
Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Fulton County (770) 463-4541
PALMETTO SLEEP, PC
Dentist
501 PARK ST
PALMETTO, GA 30268
Fulton County (770) 463-4541
PALMETTO FAMILY DENTAL, PC
Dentist (General Practice)
501 PARK ST
PALMETTO, GA 30268
Fulton County (770) 463-4541
PALMETTO SLEEP PC
Clinic/Center (Health Service)
501 PARK ST
PALMETTO, GA 30268
Fulton County (770) 463-4541

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 Brunson's NPI number?

The NPI number for Jordan Brunson is 1861631053. It was assigned to this individual provider in the NPPES registry on February 11, 2009.

Where is Jordan Brunson located?

Jordan Brunson practices at 501 Park St, Palmetto, GA 30268. The listed phone number is (770) 463-4541.

What is Jordan Brunson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jordan Brunson enrolled in Medicare?

Yes. Jordan Brunson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Brunson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Brunson reassigns Medicare benefits to Palmetto Sleep PC (Mcdonough, 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 Brunson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jordan Brunson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jordan Brunson 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 Brunson was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.