JORDAN P HARRELL MD
NPI 1033812680
Student in an Organized Health Care Education/Training Program in Gainesville, GA

NPI Status: Active since March 23, 2023

Contact Information

1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA
ZIP 30501
Phone: (770) 219-9445

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About JORDAN HARRELL

This page provides the complete NPI Profile along with additional information for Jordan Harrell, a primary care provider established in Gainesville, Georgia with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1033812680 assigned on March 2023. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1033812680
Provider Name
JORDAN P HARRELL MD
Gender
Male
Entity Type
Individual
Location Address
1439 JESSE JEWELL PKWY NE STE 102 GAINESVILLE, GA 30501
Location Phone
(770) 219-9445
Mailing Address
743 SPRING ST NE STE 710 GAINESVILLE, GA 30501
Mailing Phone
(770) 219-8730
Is Sole Proprietor?
No
Enumeration Date
03-23-2023
Last Update Date
03-23-2023
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A primary care provider (PCP) like Jordan Harrell sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Medicare Participation & PECOS Enrollment Status

Jordan Harrell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033812680
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20631614616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 6 + 1 + 4 + 6 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1033812680 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962884411DR. MARGARET A ERWOOD MD
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1376771865DR. LUIS FELIPE ROJAS M.D.
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1629577069MRS. KATHERINE FLOOK BERGDALE MSN, RN, CPNP
Individual
Nurse Practitioner (Pediatrics)1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1144361411 WILLIAM K BOSTOCK DO
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1851734099DR. ABHISHEK SINGH MD
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1588042147 TEMBELE YANGANDAWELE MD
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1316942444DR. PAUL THOMAS KLAS M.D.
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1811485741 BRITTANY LORRAINE-SMITH PARKER MD
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1013610088 LINDA NGUYEN ROBLES MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1053015917DR. CATHERINE HOPE KUO MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1093418055DR. JELANI DUKE MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1164127080 AMANDA CECILIA LEMUS MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1275237935 LINDA AKBARSHAHI
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1285337246DR. STACIA MICHELLE VERRETT MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1568166346 TIFFANY A. NICOLL DO
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1891498515DR. MICHAEL OGANIRU NWOKORIE MD
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1992409486DR. AUSTIN JAMES PRIAULX DO
Individual
Student in an Organized Health Care Education/Training Program1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1811517634DR. IBRAR ANJUM MD
Individual
Internal Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-8420
1992266910DR. SAJIV ALIAS MD
Individual
Family Medicine1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445
1346596921 MICHELE POOLE KELLY CNM
Individual
Advanced Practice Midwife1439 JESSE JEWELL PKWY NE STE 102
GAINESVILLE, GA 30501
(770) 219-9445

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033812680, enumerated in the NPI registry as an "individual" on March 23, 2023

The provider is located at 1439 Jesse Jewell Pkwy Ne Ste 102 Gainesville, Ga 30501 and the phone number is (770) 219-9445

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on March 23, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.