Gordon Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

9901642 Issued in NC

Legal business name

GORDON FAMILY MEDICINE

Practice address

725 Oakridge Blvd
Suite a-1
Lumberton, NC 28358-2351

Phone

(910) 272-0444

Fax

(910) 272-0445

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Anthony Nuttall Gordon, M.D.NPI 1215931936

Title

Owner

Phone

(910) 272-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Anthony Gordon, M.D.

  • Family Medicine Physician
  • Lumberton, NC
  • NPI 1215931936
  NPD (past) Authorized official

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427084755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD",
            "address_2": "SUITE A-1",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-272-0444",
            "fax_number": "910-272-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 OAKRIDGE BLVD",
            "address_2": "SUITE A-1",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582351",
            "telephone_number": "910-272-0444",
            "fax_number": "910-272-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTHONY NUTTALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-272-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "9901642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903383",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Care Health Services
• Gabriel Norberto Gomez, DO
• Bianca Sabina Gonzalez, MD
• Alicia Goodman, LCASA
• Luetisser Elnora Goodman
• Amber M. Gordon, RD,LDN
• Paul Anthony Gordon, M.D.
• Gayle Sarah Gottlieb, D.D.S
• Grace Home Care Agency
• Barry Gerard Graham, PA-C

• Primary Care Clinic/Center in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Primary Care Clinic/Center in North Carolina

• 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.