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

Individual provider Surgery Physician · NPI 1023007499

Dr. Madhavi Jordan, MD is a General Surgery in Marietta, Georgia. Graduated from Eastern Virginia Medical School in 2000, 26 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Trained at
Eastern Virginia Medical School
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Whitcher St NE Suit 130
Marietta, GA 30060-1155
Phone: (770) 428-0462
Fax: (770) 427-8001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 56725 (GA)

Record details

NPI number1023007499
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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