JORDAN KYLE DICKENS CAA
NPI 1144709189
Anesthesiologist Assistant in Sandy Springs, GA

NPI Status: Active since August 10, 2018

Contact Information

1000 JOHNSON FERRY RD
SANDY SPRINGS, GA
ZIP 30342
Phone: (404) 851-8000

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  • Individual
  • Male
  • Years of Experience 8
  • Anesthesiologist Assistant
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About JORDAN DICKENS

This page provides the complete NPI Profile along with additional information for Jordan Dickens, a provider established in Sandy Springs, Georgia with a medical specialization in Anesthesiologist Assistant and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1144709189 assigned on August 2018. The practitioner's primary taxonomy code is 367H00000X with license number 26626391 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1144709189
Provider Name
JORDAN KYLE DICKENS CAA
Gender
Male
Entity Type
Individual
Location Address
1000 JOHNSON FERRY RD SANDY SPRINGS, GA 30342
Location Phone
(404) 851-8000
Mailing Address
4420 PEACHTREE RD NE APT 2426 BROOKHAVEN, GA 30319
Mailing Phone
(912) 294-0854
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
08-10-2018
Last Update Date
08-10-2018
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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

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
26626391
License State
GA
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | MercyOne - EPO
  • Gold Elite - EPO
  • Gold Elite | MercyOne - EPO
  • Secure - EPO
  • Secure | MercyOne - EPO
  • Silver Classic - EPO
  • Silver Classic | MercyOne - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | MercyOne - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | MercyOne - EPO
  • Silver Simple PCP Saver - EPO
  • Silver Simple PCP Saver | MercyOne - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jordan Dickens is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

  • PECOS PAC ID: 4587917885

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20181105000281

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

This service was performed 15 times for 15 patients

Anesthesia for procedure to assess heart electrical activity

Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.

This service was performed 18 times for 18 patients

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.
Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) 70% 83
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of care elements is utilized
Use of QCDR data for ongoing practice assessment and improvementsYesN/A
Use of QCDR data, for ongoing practice assessment and improvements in patient safety.
Use of QCDR to promote standard practices, tools and processes in practice for improvement in care coordinationYesN/A
Participation in a Qualified Clinical Data Registry, demonstrating performance of activities that promote use of standard practices, tools and processes for quality improvement (e.g., documented preventative screening and vaccinations that can be shared across MIPS eligible clinician or groups).

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jordan Dickens is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTHSIDE HOSPITAL CHEROKEE450 NORTHSIDE CHEROKEE BOULEVARD
CANTON, GA 30115
(770) 244-1000Acute Care Hospitals
NORTHSIDE HOSPITAL1000 JOHNSON FERRY ROAD, NE
ATLANTA, GA 30342
(404) 851-8000Acute Care Hospitals

Reviews for JORDAN KYLE DICKENS CAA

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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.
1144709189
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
218414018116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 4 + 0 + 1 + 8 + 1 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1144709189 is valid because the calculated check digit 9 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
1558357269 CAROL W BROOKS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1740276476 CYNTHIA N DAVIS CRNA
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1114913852 BRENDA A BUCKNER NP
Individual
Nurse Practitioner (Adult Health)1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1487640124 LYNN M FEEMAN NP
Individual
Nurse Practitioner (Family)1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1043206139 STEPHEN C GRICE MD
Individual
Anesthesiology1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1184610297 HOWARD Y HONG MD
Individual
Anesthesiology1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1609862739 ROBERT P S INTRONA MD
Individual
Anesthesiology1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1558794875MRS. ANGELA MICHELLE MARQUIS AA-C
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1841626330 RASAKI ADEBISI PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1003242504 SHELLEY S STATON PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1639505134 CHRISTY A HARRY PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1821424318 ROBERT C COSTE PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1720414741 SANDRA O HRDLICKA PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1437257938DR. TAMEEKA L LAW MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(404) 851-8988
1437563061 KEUN YIM CRNA
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1568876167 CHRIS DEJELO
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1306253653 CHRISTOPHER WADE
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1962810515 ELIZABETH TUCKER
Individual
Nurse Anesthetist, Certified Registered1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1255732780 WESLEY HALL PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181
1699177808 PHAT LUONG PAAA
Individual
Anesthesiologist Assistant1000 JOHNSON FERRY RD
ATLANTA, GA 30342
(770) 645-9181

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144709189, enumerated in the NPI registry as an "individual" on August 10, 2018

The provider is located at 1000 Johnson Ferry Rd Sandy Springs, Ga 30342 and the phone number is (404) 851-8000

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 8 years of experience.

The provider might be accepting Accepts: Oscar Health Plan, Inc. and Oscar Insurance. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope and Anesthesia for procedure to assess heart electrical activity.

The practitioner is affiliated to the following hospital(s): NORTHSIDE HOSPITAL CHEROKEE and NORTHSIDE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 10, 2018. 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.