Individual provider Active NPI

Wayne Houston Gordon, M.D.

  • Neurology Physician
  • Atlanta, GA
National Provider Identifier
1750486858
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
101343 Issued in GA
Practice address
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone
(404) 851-8000
Fax
(404) 303-3759
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35122708 OH
Neurology Physician 2084N0400X 101343 GA Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Mailing address

9015 Boardwalk PL
Manvel, TX 77578-2307
Phone (210) 725-9179

Other practice location 1

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8888

Other identifiers 1

IdentifierTypeStateIssuer
0986747MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, CT, PA, MT, FL, ME, RI, LA, OK, GA, NY, SC, MA, MI15 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20100405000523 TX Practitioner - Neurology 5597852434 Reassigns benefits to 1 organization
I20140818001419 OH Practitioner - Neurology 5597852434 Reassigns benefits to 2 organizations
I20140822001389 CT Practitioner - Neurology 5597852434
I20200824002456 PA Practitioner - Neurology 5597852434 Reassigns benefits to 3 organizations
I20241107003244 MT Practitioner - Neurology 5597852434 Reassigns benefits to 1 organization
I20241114002810 FL Practitioner - PsychiatryPractitioner - Neurology 5597852434
I20241115000872 ME Practitioner - PsychiatryPractitioner - Neurology 5597852434 Reassigns benefits to 1 organization
I20241216000337 RI Practitioner - NeurologyPractitioner - Psychiatry 5597852434 Reassigns benefits to 1 organization
I20241218003632 LA Practitioner - NeurologyPractitioner - Psychiatry 5597852434 Reassigns benefits to 1 organization
I20241218004196 OK Practitioner - NeurologyPractitioner - Psychiatry 5597852434
I20241220000496 GA Practitioner - Neurology 5597852434 Reassigns benefits to 1 organization
I20250122003280 NY Practitioner - Neurology 5597852434
I20250123000030 SC Practitioner - Neurology 5597852434
I20250220001905 MA Practitioner - Neurology 5597852434
I20250225001412 MI Practitioner - Neurology 5597852434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Baylor College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Apex Diagnostics- Me, LLCGroup PAC ID 3577096387, 2 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

107 1St Park Dr
Oakland, ME 04963-5367
Phone (866) 526-8088

1194 Old Henderson Rd
Suite a
Columbus, OH 43220-3694
Phone (614) 956-5918

2614 Memorial Blvd
Suite a
Connellsville, PA 15425-1405
Phone (724) 619-1300

39185 Everett Turner Dory M Rd
Bethesda, OH 43719-9725
Phone (740) 425-1927

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101343GAMDNeurology Physician
35122708OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Diagnostics - Columbus LLC Neurology CurrentSince Nov 1, 2022 Accepting new patients
Sanford Medical Center Fargo Current Accepting new patients
Butler Medical Providers CurrentSince Sep 14, 2020 Accepting new patients
Butler Medical Providers CurrentSince Sep 14, 2020 Accepting new patients
Apex Diagnostics- Me, LLC Neurology CurrentSince Aug 19, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 22, 2024 Accepting new patients
Sanford Medical Center Fargo CurrentSince Apr 22, 2024 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Oct 7, 2024 Accepting new patients
Butler Medical Providers Current Accepting new patients
Apex Diagnostics-W Penn Neurology CurrentSince Feb 7, 2024 Accepting new patients
Access Telecare California, P.C. Neurology PastSince Sep 18, 2023 Accepting new patients

Locations

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

10845 Philadelphia Rd
White Marsh, MD 21162
Phone (410) 335-0008

107 First Park Dr
Oakland, ME 04963
Phone (207) 621-8700

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

3284 North Bend Rd
Ste 101
Cincinnati, OH 45239
Phone (614) 956-5918

4015 Executive Park Dr
Cincinnati, OH 45241
Phone (513) 569-6747

6100 E Main St
Ste 107
Columbus, OH 43213
Phone (614) 626-8707

1194 Old Henderson Rd
Ste A
Columbus, OH 43220
Phone (614) 451-8797

1194 Old Henderson Rd
Ste B
Columbus, OH 43220
Phone (614) 429-3443

3000 Corporate Exchange Dr
Ste 110
Columbus, OH 43231
Phone (614) 507-1460

789 Hebron Rd
Heath, OH 43056

5539 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 636-3668

491 E Center St
Marion, OH 43302
Phone (740) 386-6580

415 W Harding Rd
Springfield, OH 45504
Phone (937) 399-8011

141 Brady Cir W
Ste 102
Steubenville, OH 43952
Phone (740) 792-4110

3109 Fairway Dr
Altoona, PA 16602
Phone (814) 696-8886

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1750486858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 BOARDWALK PL",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782307",
            "telephone_number": "210-725-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421606",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Ewing St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "OH",
            "postal_code": "431303372",
            "country_code": "US",
            "telephone_number": "740-687-8888",
            "fax_number": "740-687-8675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "WAYNE",
        "middle_name": "HOUSTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35122708",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "101343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0986747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.