OrganizationActive
Quincy Jordan MD LLC
NPI 1972851384 · Family Medicine Physician · Kathleen, GA
Provider details
- NPI number
- 1972851384
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Quincy Jordan, Owner(877) 610-2791
- License
- 033367 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2350 South Houston Lake Rd
#902
Kathleen, GA 31047-5414
Phone: (877) 610-2791
Street-level locationGet directions
Mailing address
Po Box 2105
Fort Valley, GA 31030-2105
Registry dates
- Enumerated
- 2012-08-16
- Last updated
- 2012-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.