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

Jordan Thompson, MD

Individual provider Dermatology Physician · NPI 1073049920

Jordan Thompson, MD is a Dermatology in Marietta, Georgia. Graduated from Warren Alpert Medical School of Brown University in 2017, 9 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Massachusetts.

Years since qualifying
9
Trained at
Warren Alpert Medical School of Brown University
Licensed in
GA, MA
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

835 Cogburn Ave Ste 100
Marietta, GA 30060-1008
Phone: (770) 422-5557
Fax: (770) 422-5456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 Amsterdam Ave, New York, NY 10025-1716 — (212) 523-7321

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 96159 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 286447 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073049920
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address835 Cogburn Avenue, Suite 250, Marietta, GA 30060-1010

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2017 (9 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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