Rylie Gordon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

38167 Issued in TN

Practice address

2400 US Highway 64
Whiteville, TN 38075-7461

Phone

(731) 254-8999

NPI assigned

Feb 5, 2025

Sex

Male

Sole proprietor

No

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Whiteville Medical Center LLCGroup PAC ID 3971036716, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rylie.gordon.1@32500.direct.athenahealth.com

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.

• Whiteville Medical Center LLC

  • Family Medicine Physician
  • Whiteville, TN
  • NPI 1194551168
  Medicare reassignment Care Compare group NPD
• Whiteville Medical Clinic, LLC

  • Family Nurse Practitioner
  • Whiteville, TN
  • NPI 1073754636
  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1841004298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 US HIGHWAY 64",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757461",
            "telephone_number": "731-254-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 US HIGHWAY 64",
            "city": "WHITEVILLE",
            "state": "TN",
            "postal_code": "380757461",
            "telephone_number": "731-254-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "RYLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gertrude Gibbs
• Health and Healing Medical Services, PC
• Jenna Lynn Henson
• Carey Jackson II
• Jessica Jones
• Jessica Lake

• Family Nurse Practitioner in Whiteville, TN
• Providers in Whiteville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.

Verify at the official NPI Registry.