Teneisha Shavaugh Jordan, MD in Fort Eisenhower, GA - Medicare Family Medicine

Teneisha Shavaugh Jordan, MD is a medicare enrolled "Family Medicine" physician in Fort Eisenhower, Georgia. Her current practice location is 300 E Hospital Rd, Fort Eisenhower, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 787-5115.

Teneisha Shavaugh Jordan is licensed to practice in Georgia (license number 84336) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558857045.

Contact Information

	Teneisha Shavaugh Jordan, MD
	300 E Hospital Rd, Fort Eisenhower, GA 30905-5741
	(706) 787-5115
	Not Available

Physician's Profile

Full Name	Teneisha Shavaugh Jordan
Gender	Female
Speciality	Family Medicine
Location	300 E Hospital Rd, Fort Eisenhower, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558857045
Provider Enumeration Date: 07/08/2018
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 1153721287
Enrollment ID: I20210611000719

Medical Identifiers

Medical identifiers for Teneisha Shavaugh Jordan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558857045	NPI	-	NPPES
84336	Other	GA	GEORGIA MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	84336 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teneisha Shavaugh Jordan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Teneisha Shavaugh Jordan, MD 177 Caroleton Dr, Grovetown, GA 30813-0310 Ph: (678) 435-7764	Teneisha Shavaugh Jordan, MD 300 E Hospital Rd, Fort Eisenhower, GA 30905-5741 Ph: (706) 787-5115

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Family Medicine Doctors in Fort Eisenhower, GA

Paige Macky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 618-979-8208
Dr. Michelle Marie Holland, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-5161 Fax: 706-787-5145
Dr. Edwin Alonzo Farnell Iv, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-2776 Fax: 706-787-8176
Caitlyn Jarrio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-9399
Dr. Karen Sue Phelps, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-2720 Fax: 706-787-8176
Dr. Justin Lamar Wilkie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E Hospital Rd, Fort Eisenhower, GA 30905 Phone: 706-787-9052

Teneisha Shavaugh Jordan, MD - Medicare Family Medicine in Fort Eisenhower, GA