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

Kimberly Elizabeth Jordan, MD

Individual provider Family Medicine Physician · NPI 1457315947

Kimberly Elizabeth Jordan, MD is a Family Practice in Atlanta, Georgia. Graduated from Wright State University Boonshoft School of Medicine in 2001, 25 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia, North Carolina and Ohio.

Years since qualifying
25
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
GA, NC, OH
In the registry since
2006
Specialties on file
3
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

1100 Lake Hearn Dr Ste 450
Atlanta, GA 30342-1524
Phone: (404) 365-0966
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 105060 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 35-08-3111-J (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2010-01703 (NC)

Record details

NPI number1457315947
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2006
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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