Active NPI
Catherine Doan Gordon, NP-C
- Family Nurse Practitioner
- Flat Rock, NC
National Provider Identifier
1811208648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004770
- Practice address
- 571 S Allen Rd
Flat Rock, NC 28731-9447 - Phone
- (828) 692-6178
- Fax
- (828) 692-2365
- NPI assigned
- Jun 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN191108 | GA | |
| Family Nurse Practitioner | 363LF0000X | 5004770 | NC | Primary |
Addresses
Primary practice location
571 S Allen Rd
Flat Rock, NC 28731-9447
Mailing address
571 S Allen Rd
Flat Rock, NC 28731-9447
Phone (828) 692-6178
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3186240C | Medicaid | GA | |
| RN191108 | Other | GA | NP-C |
| 3186240B | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgordon@fourseasonscfl.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000794 | NC | Practitioner - Nurse Practitioner | 3779608955 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Healthcare, PC | Family | Current | Accepting new patients |
| Chatuge Regional Hospital Inc | Past | Accepting new patients | |
| Chatuge Regional Hospital Inc | Past | Accepting new patients |
Locations
1662 Hwy 64 W
Hayesville, NC 28904
Phone (828) 835-9571
1662 Hwy 64 W
Ste A
Hayesville, NC 28904
Phone (828) 835-9571
163 Hwy 64 W
Ste 4
Hayesville, NC 28904
Phone (828) 835-9571
Interoperability endpoints
- https://api.platform.athenahealth.com/26113/brand/1/csg/1/fhir/r4
- catherine.gordon@938474545938436.direct.elationemr.com
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Hayesville, NC
- NPI 1093879744
-
- Medicare Defined Swing Bed Hospital Unit
- Hiawassee, GA
- NPI 1982873212
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hayesville, NC
- NPI 1164811550
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hometown Healthcare, PC
Practice addresses (Care Compare)
1662 Hwy 64 W
Suite a
Hayesville, NC 28904
Phone (828) 835-9571
Hospital & facility affiliations
- Mountain Home Health Services
- Erlanger Murphy Medical Center
- Union General Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1811208648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 S ALLEN RD",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319447",
"telephone_number": "828-692-6178",
"fax_number": "828-692-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "571 S ALLEN RD",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319447",
"telephone_number": "828-692-6178",
"fax_number": "828-692-2365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "CATHERINE",
"middle_name": "DOAN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-26",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN191108",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186240C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP-C",
"identifier": "RN191108",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3186240B",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgordon@fourseasonscfl.org",
"affiliation": "N",
"address_1": "571 S Allen Rd",
"city": "Flat Rock",
"state": "NC",
"country_code": "US",
"postal_code": "287319447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Flat Rock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.