Organization Active NPI

Gordon Behavioral Sciences P.C.

  • Psychiatry Physician
  • Rome, GA
National Provider Identifier
1447426200
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18538 Issued in GA
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

Updated by the provider on Aug 6, 2024

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.NPI 1760564173
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000227488CMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080527000444 GA Part B Supplier - Clinic/Group Practice 0749359198 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.