Active NPI
Damion Gordon
- Social Worker
- Albany, GA
National Provider Identifier
1073763595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 520 W Broad Ave
Albany, GA 31701-2468 - Phone
- (229) 639-0477
- Fax
- (229) 639-0478
- NPI assigned
- Sep 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
520 W Broad Ave
Albany, GA 31701-2468
Mailing address
149 Senah Dr
Leesburg, GA 31763-5719
Phone (229) 759-7445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Americanwork, LLC | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221782400000",
"number": "1073763595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 SENAH DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317635719",
"telephone_number": "229-759-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W BROAD AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012468",
"telephone_number": "229-639-0477",
"fax_number": "229-639-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "DAMION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-19",
"last_updated": "2008-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.