NPIMap

Individual provider Active NPI

Amber Shea Gordon, M.D.

  • Neurological Surgery Physician
  • Mobile, AL
National Provider Identifier
1225299589
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME119452 Issued in FL
Practice address
3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone
(251) 435-6850
Fax
(251) 435-6859
NPI assigned
Jun 19, 2008
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME119452 FL Primary

Addresses

Primary practice location

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512

Mailing address

3 Mobile Infirmary Cir Ste 410
Mobile, AL 36607-3512
Phone (251) 435-6850

Other identifiers 1

IdentifierTypeStateIssuer
14UN0OtherFLBCBSFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180830002371 AL Practitioner - Neurosurgery 3779729454 Reassigns benefits to 1 organization
I20250213002704 TN Practitioner - Nurse Practitioner 3779729454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imc-Neurosurgery LLCGroup PAC ID 7012267768, 6 clinicians

Practice addresses (Care Compare)

3 Mobile Infirmary Cir
Suite 201a
Mobile, AL 36607-3514
Phone (251) 435-6850

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion169
Laminectomy or laminotomy (partial removal of spine bones)37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119452FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dropnswap CurrentSince Dec 8, 2024 Accepting new patients
Imc-Neurosurgery LLC Neurological Surgery CurrentSince Mar 1, 2018 Accepting new patients

Locations

3 Mobile Infirmary Cir
Ste 201A
Mobile, AL 36607
Phone (251) 435-6850

3 Mobile Infirmary Cir
Ste 410
Mobile, AL 36607
Phone (251) 433-3344

300 S Walnut Bend Rd
Ste 1
Cordova, TN 38018
Phone (901) 265-0084

Interoperability endpoints

  • Direct secure messaging: agordon72234@directinfirmaryhealth.org

Organizations & group practices 2

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1225299589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR STE 410",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073512",
            "telephone_number": "251-435-6850",
            "fax_number": "251-435-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "AMBER",
        "middle_name": "SHEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME119452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "14UN0",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.