Saye Gorgor

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN105044 Issued in GA

Practice address

9465 Highway 5
Douglasville, GA 30135-1509

Phone

(866) 825-3227

Fax

(866) 397-7399

NPI assigned

Jan 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Take Care Health Massachusetts P.C.

  • Family Nurse Practitioner
  • Lowell, MA
  • NPI 1427233808
  NPD (past)

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1508196700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 30TH AVE S STE 101",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048419",
            "telephone_number": "866-825-3227",
            "fax_number": "866-397-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351509",
            "telephone_number": "866-825-3227",
            "fax_number": "866-397-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORGOR",
        "first_name": "SAYE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN105044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Louise Goodwin, RN
• Francine Gordon
• Johnnie Gordon
• Tawana Lavette Gordon
• Nakeya Johnson Gore, LCSW
• Daniel J Gorzynski, PHARMD
• Sheila Ann Gowdy, OD
• GR8 Senior Care, LLC
• Grace Assisted Living of Douglasville, LLC
• Grace Hearing and Language Services, LLC

• Family Nurse Practitioner in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.