Active NPI
James Gordon, PA
- Physician Assistant
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01655
- Practice address
- 245 Chapman St Ste 300
Providence, RI 02905-4539 - Phone
- (401) 444-5280
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 102412 | NC | |
| Physician Assistant | 363A00000X | PA01655 | RI | Primary |
Addresses
Primary practice location
245 Chapman St Ste 300
Providence, RI 02905-4539
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
10502 Park Rd
Ste 150
Charlotte, NC 28210-8479
Phone (704) 667-0520
Other practice location 2
16455 Statesville Rd
Ste 200
Huntersville, NC 28078-7135
Phone (704) 801-3011
Other practice location 3
950 Warren Ave Ste 302
East Providence, RI 02914-1432
Phone (401) 444-2701
Other practice location 4
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963
Phone (704) 355-4593
Other practice location 5
1001 Blythe Blvd
Ste 403
Charlotte, NC 28203-5866
Phone (704) 355-8850
Other practice location 6
146 W River St Ste 11D
Providence, RI 02904-2609
Phone (401) 793-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Chapman St
Suite 300
Providence, RI 02905-4539
Phone (401) 444-5280
593 Eddy St
Providence, RI 02903-4923
950 Warren Ave
Suite 302
East Providence, RI 02914-1432
Phone (401) 444-6551
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102412 | NC | MD | Physician Assistant |
| PA01655 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Rhode Island Hospital | Current | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
1454 S County Trl
Ste 2100
East Greenwich, RI 02818
Phone (401) 606-2000
950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Ste 9B
Providence, RI 02903
Phone (401) 444-5280
245 Chapman St
Ste 300
Providence, RI 02905
Phone (401) 444-4741
15 La Salle Sq
Providence, RI 02903
146 W River St
Ste 11D
Providence, RI 02904
Phone (401) 606-3000
58 Amaral St
Riverside, RI 02915
Phone (401) 606-4260
Interoperability endpoints
- jgordon343431@bassett.direct-ci.net
- james.gordon.npi1912918731.reliant@direct.optumcare.masshiway.net
Organizations & group practices 6
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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Multi-Specialty Clinic/Center
- Providence, RI
- NPI 1154537520
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Physician Assistant
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1912918731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 LA SALLE SQ",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029031814",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 CHAPMAN ST STE 300",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054539",
"telephone_number": "401-444-5280"
}
],
"practiceLocations": [
{
"address_1": "10502 Park Rd",
"address_2": "STE 150",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108479",
"country_code": "US",
"telephone_number": "704-667-0520",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16455 Statesville Rd",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787135",
"country_code": "US",
"telephone_number": "704-801-3011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 Warren Ave Ste 302",
"address_purpose": "LOCATION",
"city": "East Providence",
"state": "RI",
"postal_code": "029141432",
"country_code": "US",
"telephone_number": "401-444-2701",
"fax_number": "401-444-2740",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-4593",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_2": "STE 403",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-355-8850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "146 W River St Ste 11D",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029042609",
"country_code": "US",
"telephone_number": "401-793-5700",
"fax_number": "401-793-7801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORDON",
"first_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102412",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.