Charles R. Gordon MD PA

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CHARLES R. GORDON MD PA

Doing business as

Precision Spine Care

Practice address

1802 Moores LN
Texarkana, TX 75503-4609

Phone

(903) 306-0711

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Charles R Gordon, M.D.NPI 1164535142

Title

Owner

Phone

(903) 363-1550

Specialties & licenses 1

Addresses

Other names 1

• Precision Spine Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Charles R Gordon MD PA

  dba Precision Spine Care

  • Interventional Pain Medicine Physician
  • Lufkin, TX
  • NPI 1720513328

  8729992052

  Same PAC ID
• Charles R Gordon MD PA

  dba Precision Spine Care

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1982717955

  8729992052

  Same PAC ID

Tax ID family

Charles R Gordon MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Charles R Gordon MD PA

  dba Roseland Pharmacy

  • Community/Retail Pharmacy
  • Tyler, TX
  • NPI 1346670726
  NPD tax ID
• Charles R Gordon MD PA

  dba Precision Spine Care

  • Interventional Pain Medicine Physician
  • Lufkin, TX
  • NPI 1720513328
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles R Gordon, M.D.

  • Neurological Surgery Physician
  • Tyler, TX
  • NPI 1164535142
  NPD (past) Authorized official

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1144694902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6605",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757116605",
            "telephone_number": "903-363-1550",
            "fax_number": "903-595-1592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MOORES LN",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034609",
            "telephone_number": "903-306-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. GORDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-363-1550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Spine Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precision Spine Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cep America LLC
• Rincy Mary Chacko, PHARMD
• Sonya Champion
• Cameryn Chapman
• Charles N. Thornton, M.D.,P.a.
• Candace Ann Chauncy, APN
• Subba Rao Chennupati, M.D
• Monica Choate, LVN
• Chris S. Potts, D.D.S.,P.a.
• Christiana V. Montgomery,O.D.,P.C.

• Pain Medicine (Anesthesiology) Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Pain Medicine (Anesthesiology) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.