Individual provider Active NPI

Cecilia Bernadette Gordon, D.O.

  • Family Medicine Physician
  • Apex, NC
National Provider Identifier
1356401749
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200301233 Issued in NC
Practice address
212 S Salem St
Apex, NC 27502-1825
Phone
(919) 362-5201
NPI assigned
Dec 8, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9461 FL
Family Medicine Physician 207Q00000X 200301233 NC Primary

Addresses

Primary practice location

212 S Salem St
Apex, NC 27502-1825

Mailing address

2620 New Bern Ave
Raleigh, NC 27610-1821
Phone (919) 833-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20090309000674 NC Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4789572520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Philadelphia College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

174 Bolick LN
Suite 202
Taylorsville, NC 28681-4362
Phone (828) 732-5680

1940 Briarwood Dr
Suite a
Hickory, NC 28602-5497
Phone (828) 732-5250

50 Macedonia Church Rd a
Taylorsville, NC 28681-8414
Phone (828) 732-5300

991 W Hudson Blvd
Gastonia, NC 28052-6430
Phone (704) 853-5079

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9461FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Mar 1, 2020 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Apr 1, 2018 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine CurrentSince Apr 1, 2018 Accepting new patients

Locations (25 of 33)

119 W Pennsylvania Ave
Bessemer City, NC 28016
Phone (704) 629-3465

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

3114 W Main St
Claremont, NC 28610
Phone (828) 459-7324

130 1st St W
Conover, NC 28613
Phone (828) 466-3000

111 E 3rd Ave
Gastonia, NC 28052
Phone (704) 853-5079

1225 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 865-7416

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

409 S Oakland St
Gastonia, NC 28052

609 N Highland St
Gastonia, NC 28052
Phone (704) 772-4700

620 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 285-0241

890 Summit Crossing Pl
Gastonia, NC 28054
Phone (704) 853-5000

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

133 1st Ave SE
Hickory, NC 28602
Phone (828) 944-4544

1501 Tate Blvd SE
Hickory, NC 28602
Phone (828) 322-4140

2365 Springs Rd NE
Hickory, NC 28601
Phone (828) 256-2112

3070 11th Avenue Dr SE
Hickory, NC 28602
Phone (828) 466-7196

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

915 Tate Blvd SE
Hickory, NC 28602
Phone (828) 327-6673

502 W King St
Kings Mtn, NC 28086
Phone (704) 730-8461

420 N Salisbury St
Lexington, NC 27292
Phone (336) 243-7475

212 Gamble Dr
Lincolnton, NC 28092
Phone (704) 735-7145

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-2446

172 S Clement St
Mocksville, NC 27028
Phone (336) 477-2251

1019 N Lafayette St
Shelby, NC 28150
Phone (704) 482-8282

305 W College Ave
Shelby, NC 28152
Phone (704) 434-2598

Interoperability endpoints

  • Direct secure messaging: cecilia.gordon@cvmg.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1356401749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101821",
            "telephone_number": "919-833-3111",
            "fax_number": "919-832-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021825",
            "telephone_number": "919-362-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CECILIA",
        "middle_name": "BERNADETTE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9461",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200301233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.