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

Samantha R Jordan, PSYD

Individual provider Psychologist · NPI 1366786527

Samantha R Jordan, PSYD is a Clinical Psychologist in Marietta, Georgia. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2012
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2520 Windy Hill Rd SE Ste 203
Marietta, GA 30067-8664
Phone: (770) 953-6401
Fax: (770) 953-6015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY003632 (GA)

Record details

NPI number1366786527
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESNovember 12, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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