Gregory Gordon MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16391 Issued in MS

Legal business name

GREGORY GORDON MD, PLLC

Practice address

232 Market St
Suite 234
Flowood, MS 39232-3339

Phone

(601) 214-3539

Fax

(601) 914-7201

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Andrew Gordon, M.D.NPI 1639105794

Title

Owner

Phone

(601) 214-3539

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Gregory Andrew Gordon, M.D.

  • Psychiatry Physician
  • Flowood, MS
  • NPI 1639105794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1699210401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5215",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390475215",
            "telephone_number": "601-214-3539",
            "fax_number": "601-914-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MARKET ST",
            "address_2": "SUITE 234",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392323339",
            "telephone_number": "601-214-3539",
            "fax_number": "601-914-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY GORDON MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-214-3539",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "16391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torrance Tremayne Green, M.D.
• Angela M Greene, PMHNP
• Stephen A Greer, D.M.D.
• Tina M Gregg, NP-C
• Greggory E. Tharp DMD Inc
• Caleb Van Gressett, DC
• Anna Kathryn Griffin, FNP-C
• Leon M Grigoryev, MD
• Grace Kim Guillory, RNFA
• Avinash C Gulanikar, M.D,

• Psychiatry Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.