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

Jordan Bothwell, MD

Individual provider Emergency Medicine Physician · NPI 1942090568

Jordan Bothwell, MD is an Emergency Medicine Physician in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
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

1120 15th St
Augusta, GA 30912-0004
Phone: (495) 170-6721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 17514 (GA)

Record details

NPI number1942090568
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 7, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address1120 15th St, Augusta, GA 30912-0004

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