Organization Active NPI

Anthony R. Gordon DPM, PC

  • Podiatrist
  • Athens, GA
National Provider Identifier
1770280877
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ANTHONY R. GORDON DPM, PC
Practice address
230 Cedar Pointe Dr
Athens, GA 30605-3339
Phone
(706) 208-9977
Fax
(949) 955-7016
NPI assigned
Feb 9, 2023
Organization subpart
Yes
Parent organization
ANTHONY R. GORDON DPMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Dr. Anthony R Gordon, DPMNPI 1386602464
Title
Podiatrist
Phone
(706) 208-9977

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

230 Cedar Pointe Dr
Athens, GA 30605-3339

Mailing address

146 MLK Jr Blvd Ste 394
Monroe, GA 30655-5620
Phone (706) 208-9977

National Provider Directory

National Provider Directory

Locations

230 Cedar Pointe Dr
Athens, GA 30605
Phone (706) 208-9977

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1770280877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MLK JR BLVD STE 394",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555620",
            "telephone_number": "706-208-9977",
            "fax_number": "949-955-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CEDAR POINTE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053339",
            "telephone_number": "706-208-9977",
            "fax_number": "949-955-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY R. GORDON DPM, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTHONY R. GORDON DPM",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "706-208-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.