Individual provider Active NPI

Christine Gordon

  • Family Nurse Practitioner
  • Aiken, SC
National Provider Identifier
1477939437
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19642 Issued in SC
Practice address
150 University Pkwy
Aiken, SC 29801-6387
Phone
(803) 643-1977
Fax
(803) 644-2743
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 19642 SC
Family Nurse Practitioner 363LF0000X 19642 SC Primary

Addresses

Primary practice location

150 University Pkwy
Aiken, SC 29801-6387

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729002169 SC Practitioner - Nurse Practitioner 1355413550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, 38 clinicians
Hopehealth, Inc.Group PAC ID 4082510623, 77 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

150 University Pkwy
Aiken, SC 29801-6387
Phone (803) 643-1977

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19642SCMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Feb 6, 2017 Accepting new patients
Hopehealth, Inc CurrentSince Feb 6, 2017 Accepting new patients
Little River Medical Center, Inc. CurrentSince Jun 11, 2021 Accepting new patients
Little River Medical Center Inc Family CurrentSince Jun 11, 2021 Accepting new patients
Hopehealth Inc Current Accepting new patients

Locations

150 University Pkwy
Aiken, SC 29801
Phone (803) 643-1977

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

1857 Joe S Jeffords Hwy
Orangeburg, SC 29115
Phone (803) 535-2272

Interoperability endpoints

  • Direct secure messaging: christine.gordon@hop.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1477939437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016387",
            "telephone_number": "803-643-1977",
            "fax_number": "803-644-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "SC",
            "license": "19642",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.