Nekesha Johnnyette Gordon Crowell

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5205 Brookins Rd
Meridian, MS 39307-9581

Phone

(601) 934-0071

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1013689199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7230",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393047230",
            "telephone_number": "601-934-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 BROOKINS RD",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393079581",
            "telephone_number": "601-934-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON CROWELL",
        "first_name": "NEKESHA",
        "middle_name": "JOHNNYETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy M Goodin, PA-C
• Barbara B. Goodman, M.D.
• Perry Jay Goodman, M.D.
• Andrea D. Goodwin, M.D.
• Aurthur Goodwin, LPC
• Gary G. Gordon, D.O.
• Jessica E Gordon, D.O.
• Andrea Gore
• Troy Eugene Gore, RPA
• Cameron Goss

• All providers in Meridian, MS
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.