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Tiffany Rae Jordan, NP

NPI 1316693047ActiveIndividual· Nurse Practitioner, Family· Kennesaw, GA

Nurse Practitioner, Family (NP) with Northside Surgical Professional Services LLC, practicing in Kennesaw, Georgia. 182 Medicare patients in 2024, $27,170 paid; nearly all of their 350 Part D prescriptions were generic (97%). Smith+nephew, Inc. was the largest of 8 companies reporting payments in 2025, $643.55 in all, mostly food and beverage. Lists Northside Hospital Cherokee as a hospital affiliation.

Overview

NPI1316693047
StatusActive
Entity typeIndividual
CredentialNP
Sole proprietorNo
NPI issuedFeb 22, 2022
Last updated in NPPESFeb 22, 2022
Certified by providerFeb 22, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000XRN240185GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (GA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients182
Services billed1,135 across 31 procedure codes
Paid by Medicare$27,170

Part D prescriptions in 2024

Prescriptions (claims)350 · 363 30-day fills
Patients172
Total drug cost$5,289
Generic share97% of claims

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$643.55 · 12 payments from 8 companies
  • 2024$377.05 · 10 payments from 9 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$643.55 · 12 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other family nurse practitioners in Kennesaw

All 97 family nurse practitioners in Kennesaw · All family nurse practitioners in Georgia