NPIMap

Individual provider Active NPI

Neil E Gordon, M.D.

  • Internal Medicine Physician
  • Cedartown, GA
National Provider Identifier
1376512301
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22411 Issued in GA
Practice address
2370 Rockmart Hwy
Suite 100
Cedartown, GA 30125-6029
Phone
(770) 748-7818
NPI assigned
Mar 14, 2006
Last updated
Mar 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22411 GA Primary

Addresses

Primary practice location

2370 Rockmart Hwy
Suite 100
Cedartown, GA 30125-6029

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Other identifiers 1

IdentifierTypeStateIssuer
000213386CMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ngordon@fmc.gwaydirect.com
Direct Messaging Address ngordon914289@CarolinasHealthcareSystem.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000022 GA Practitioner - Internal Medicine 7214071737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

2360 Rockmart Hwy
Cedartown, GA 30125-6029
Phone (770) 748-2500

2370 Rockmart Hwy
Cedartown, GA 30125-6029

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22411GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Oct 1, 2012 Accepting new patients
Floyd Healthcare Management Inc Internal Medicine CurrentSince Oct 1, 2012 Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

1106 N Main St
Cedartown, GA 30125
Phone (770) 748-7818

2370 Rockmart Hwy
Ste 100
Cedartown, GA 30125
Phone (770) 748-7818

330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

Interoperability endpoints

  • Direct secure messaging: ngordon914289@carolinashealthcaresystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Atrium Health Floyd Polk Medical CenterCedartown, GA, CCN 111330 Hospital Corporate Director Mar 1, 2022
Atrium Health Floyd Polk Medical CenterCedartown, GA, CCN 11Z330 Hospital Corporate Director Mar 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1376512301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 ROCKMART HWY",
            "address_2": "SUITE 100",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301256029",
            "telephone_number": "770-748-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "NEIL",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "22411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000213386C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngordon@fmc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "2370 Rockmart Hwy",
            "address_2": "Suite 100",
            "city": "Cedartown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301256029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngordon914289@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "2370 Rockmart Hwy",
            "address_2": "Suite 100",
            "city": "Cedartown",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301256029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.