Individual provider Active NPI

Sabina Gabrielle Gordon, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1326211335
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219044 Issued in GA
Practice address
300 Argento Dr Apt 2101
McDonough, GA 30253-5237
Phone
(678) 884-6555
Fax
(678) 826-0772
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN219044 GA Primary
General Practice Registered Nurse 163WG0000X RN219044 GA
Family Nurse Practitioner 363LF0000X F05190272 GA

Addresses

Primary practice location

300 Argento Dr Apt 2101
McDonough, GA 30253-5237

Mailing address

300 Argento Dr Apt 2101
McDonough, GA 30253-5237
Phone (678) 884-6555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200105000026 GA Practitioner - Nurse Practitioner 4385078005 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN219044GAMDGeneral Practice Registered Nurse
F05190272GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kulani Spa & Wellness, LLC Family CurrentSince Mar 30, 2025 Accepting new patients
Aftercare Nursing Services, Inc. Past Accepting new patients
Aftercare Past Accepting new patients

Locations

1365 Rock Quarry Rd
Ste 304
Stockbridge, GA 30281

Organizations & group practices 3

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1326211335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ARGENTO DR APT 2101",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535237",
            "telephone_number": "678-884-6555",
            "fax_number": "678-826-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARGENTO DR APT 2101",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535237",
            "telephone_number": "678-884-6555",
            "fax_number": "678-826-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "SABINA",
        "middle_name": "GABRIELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219044",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN219044",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F05190272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.