Deborah Gordon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24940 Issued in AL

Practice address

503 Clark St NE
Cullman, AL 35055-1921

Phone

(256) 739-1759

Fax

(256) 739-0027

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297

  AL

  Medicare reassignment NPD
• H H Health System-Morgan LLC

  • Psychiatric Hospital Unit
  • Decatur, AL
  • NPI 1417209685
  NPD
• HH Health System - Morgan, LLC

  • Rural Health Clinic/Center
  • Courtland, AL
  • NPI 1295527802
  NPD
• Cullman County Medical Clinic Inc

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1609879220
  NPD (past)
• Cullman Primary Care, PC

  • Family Medicine Physician
  • Cullman, AL
  • NPI 1114238243
  NPD (past)

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1023091071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 CHEROKEE AVE SW",
            "address_2": "SUITE 2500",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555595",
            "telephone_number": "256-739-8007",
            "fax_number": "256-739-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CLARK ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551921",
            "telephone_number": "256-739-1759",
            "fax_number": "256-739-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "24940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981665",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51000455",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Golway, DC
• Ben A Gomez, MD
• Daniel Gonzalez Abascal, MD
• Good Hope Medical Inc
• Eric Goodrich, DO
• Nicholas Gossett
• Stephen Gould, MD
• Jana Gourley
• Carolina Rose Grace, DMD
• Catherine Jane Graham, DMD

• All providers in Cullman, AL
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.