NPIMap

Organization Active NPI

Charles R Gordon MD PA

Doing business as Precision Spine Care

  • Interventional Pain Medicine Physician
  • Lufkin, TX
National Provider Identifier
1720513328
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CHARLES R GORDON MD PA
Doing business as
Precision Spine Care
Practice address
116 Christie Dr
Lufkin, TX 75904-5534
Phone
(936) 249-1866
Fax
(903) 246-4296
NPI assigned
Apr 21, 2017
Last updated
Sep 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Authorized official

Name
Charles R Gordon, MDNPI 1164535142
Title
Ceo
Phone
(903) 363-1555

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
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

116 Christie Dr
Lufkin, TX 75904-5534

Mailing address

116 Christie Dr
Lufkin, TX 75904-5534
Phone (903) 592-6000

Other names 1

  • PRECISION SPINE CARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002279 TX DME Supplier - Physician - Interventional Pain Management 8729992052 Practice locations: Lufkin, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Charles R Gordon MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Medical Center Blvd
Ste C
Lufkin, TX 75904
Phone (903) 592-6000

Practitioners & affiliated clinicians

Practitioners 43

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1720513328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045534",
            "telephone_number": "903-592-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CHRISTIE DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759045534",
            "telephone_number": "936-249-1866",
            "fax_number": "903-246-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R GORDON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-363-1555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRECISION SPINE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRECISION SPINE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.