Active NPI
Gordon Behavioral Sciences P.C.
- Psychiatry Physician
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18538
- Legal business name
- GORDON BEHAVIORAL SCIENCES P.C.
- Practice address
- 1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664 - Phone
- (706) 234-0034
- Fax
- (678) 348-7595
- NPI assigned
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Frank G. Pratt Jr., M.D.
- Title
- Owner
- Phone
- (706) 234-0034
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18538 | GA | Primary |
Addresses
Primary practice location
1013 N 5TH Ave NE Ste 4
Rome, GA 30165-2664
Mailing address
109 John Maddox Dr NW
Rome, GA 30165-1451
Phone (706) 234-0034
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000227488C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
109 John Maddox Dr NW
Rome, GA 30165
Phone (706) 232-6743
109 John Maddox Dr NW
#300
Rome, GA 30165
Phone (706) 234-0034
109 John Maddox Dr NW
Ste 300
Rome, GA 30165
Phone (706) 234-0034
109 John Maddox Dr NW
Ste 220
Rome, GA 30165
Phone (706) 234-0034
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Rome, GA
- NPI 1760564173
-
- Clinical Social Worker
- Rome, GA
- NPI 1750601308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722902400000",
"number": "1447426200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JOHN MADDOX DR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651451",
"telephone_number": "706-234-0034",
"fax_number": "706-234-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N 5TH AVE NE STE 4",
"city": "ROME",
"state": "GA",
"postal_code": "301652664",
"telephone_number": "706-234-0034",
"fax_number": "678-348-7595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDON BEHAVIORAL SCIENCES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-01",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A",
"authorized_official_last_name": "PRATT",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-234-0034",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "18538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000227488C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.