Organization Active NPI

Gordon Sheppard Inc.

  • Clinical Social Worker
  • Inverness, FL
National Provider Identifier
1376508945
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NONE Issued in FL
Legal business name
GORDON SHEPPARD INC.
Practice address
1813 US Highway 41 N
Inverness, FL 34450-2412
Phone
(352) 637-5561
Fax
(352) 637-5597
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Goedon Andrew Sheppard
Title
Ceo
Phone
(352) 637-5561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X NONE FL Primary

Addresses

Primary practice location

1813 US Highway 41 N
Inverness, FL 34450-2412

Mailing address

PO Box 1269
Inverness, FL 34451-1269
Phone (352) 637-5561

National Provider Directory

National Provider Directory

Locations

1813 Highway 41 N
Inverness, FL 34450
Phone (352) 637-5561

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376508945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344511269",
            "telephone_number": "352-637-5561",
            "fax_number": "352-637-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 US HIGHWAY 41 N",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344502412",
            "telephone_number": "352-637-5561",
            "fax_number": "352-637-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON SHEPPARD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "GOEDON",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-637-5561",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.