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QUINCY JORDAN MD LLC
NPI 1972851384
Family Medicine in Kathleen, GA

Active since August 16, 2012
2350 SOUTH HOUSTON LAKE RD, #902, KATHLEEN, GA 31047(877) 610-2791 Get Directions Write a Review

NPPES record last updated: September 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quincy Jordan Md Llc NPPES

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

QUINCY JORDAN MD LLC (NPI 1972851384) is a healthcare organization registered as a family medicine in Kathleen, Georgia and active in the NPI registry since August 2012. The organization lists Quincy J Jordan, Owner, as its authorized official.

NPPES Registry Identity

NPI1972851384
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUINCY JORDAN MD LLC
Location Address2350 SOUTH HOUSTON LAKE RD, #902Kathleen, GA 31047-5414
Mailing AddressPo Box 2105Fort Valley, GA 31030-2105 · (877) 610-2791
Phone(877) 610-2791
Organization SubpartNo
Authorized OfficialQuincy J JordanOwner · (877) 610-2791
Enumeration DateAugust 16, 2012
Last NPPES UpdateSeptember 4, 2012
✔ NPI 1972851384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 033367
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2350 SOUTH HOUSTON LAKE RD, Kathleen, GA 31047
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Quincy Jordan MD LLC's NPI number?

The NPI number for Quincy Jordan MD LLC is 1972851384. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Quincy Jordan MD LLC located?

Quincy Jordan MD LLC is located at 2350 South Houston Lake Rd #902, Kathleen, GA 31047. The listed phone number is (877) 610-2791.

What is Quincy Jordan MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Quincy Jordan MD LLC was last updated on September 4, 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.