P Praxis·MD
● Active Type 1 · Individual

William D Jordan JR., MD

Surgery·Augusta, GA· NPI 1134159668 · Enumerated 2006 · 19 years on NPI
Jordan is 1 of 17 surgery providers in Augusta and 1 of 268 in Georgia.
NPI age
19 years
Enumerated 2006-07-03
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309121013
📞 7067218623
Mailing address
1120 15th St # Or6000
Augusta, GA 309120004
📞 7067213813

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1365 Clifton Rd Ne, Tec Building A, Room 2200
Atlanta, GA 303221013
📞 4047271994

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #37578AL license #14678 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (AL) 000027366
01 (AL) 770000637 RAILROAD MEDICARE
01 (AL) E92967 VIVA
01 (AL) 000027366 BLUE CROSS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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