Chawnette Washington Gordon, CLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

1219 Pine St
Augusta, GA 30901-3334

Phone

(706) 504-8434

NPI assigned

Aug 15, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1780312934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 PINE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013334",
            "telephone_number": "706-504-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 PINE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309013334",
            "telephone_number": "706-504-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "CHAWNETTE",
        "middle_name": "WASHINGTON",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Goodwin
• Richard H. Goodwin Jr., M.D.
• Mary Jo Goolsby, NP
• Keerthana Gopichandran
• Gordon Highway Dental Group, LLC
• Jamie Gordon, LPC
• Mackenzie Gordon, CTRS
• Megan Tucker Gordon, OTR/L
• Mona Gordon
• Tito Terrell Gordon, LPC

• Health & Wellness Coach in Augusta, GA
• Providers in Augusta, GA by specialty
• Health & Wellness Coach in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.