Michael C Gordon MD LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

026534 Issued in GA

Legal business name

MICHAEL C GORDON MD LLC

Practice address

4015 S Cobb Dr SE Ste 275
Smyrna, GA 30080-6357

Phone

(770) 801-5811

NPI assigned

Aug 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Gordon, MD

Title

Medical Director

Phone

(770) 801-5811

Specialties & licenses 1

Addresses

Other names 1

• Atlanta Center for Pain & Addiction Management Doing business as

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

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282435200000",
    "number": "1881900330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 275",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806357",
            "telephone_number": "770-801-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 275",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806357",
            "telephone_number": "770-801-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C GORDON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-22",
        "last_updated": "2010-08-22",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-801-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "026534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Center for Pain & Addiction Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Rogers Merrell, MS, NCC
• Joan Tolbert Merriweather, LCSW
• Metro Atlanta Psychiatry, PC
• Johnathan Richard Meuse Sr.
• Alisa Meyer, LDN
• Michael C. Gordon MD, LLC
• Michael C. Gordon, MD, LLC
• Michael Family Chiropractic Inc
• Michael S McGarry PHD PC
• Jamie Michael, D.C.

• Addiction (Substance Use Disorder) Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2010; 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.