Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Quincy Jordan MD LLC

Organization Family Medicine Physician · NPI 1972851384

Quincy Jordan MD LLC is a Family Medicine Physician in Kathleen, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2350 S Houston Lake Rd #902
Kathleen, GA 31047-5414
Phone: (877) 610-2791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 033367 (GA)

Record details

NPI number1972851384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Quincy Jordan — Owner · (877) 610-2791
NPI enumeratedAugust 16, 2012
Last updated in NPPESSeptember 4, 2012
Mailing addressPo Box 2105, Fort Valley, GA 31030-2105

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