DR. MICHAEL COWL GORDON (NPI# 1184608077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184608077 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL COWL GORDON |
| Credential | MD |
| Practice Address |
1800 Water Pl Se Suite 100 Atlanta GA 30339-2061 |
| Practice Telephone | 7708010980 |
| Practice Fax Number | 7708019039 |
| Mailing Telephone | 7708010980 |
| Mailing Fax Number | 7708019039 |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2013-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
026534 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000290463A | 05 | |
| GA | BLUE CROSS BLUE SHIELD | 461670 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871136267 | Michael Deshuan Gordon | Counselor | 112 Spanish Moss Dr, Clinton, MS 39056-5838 | 2019-10-18 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1225562622 | Michael Don Gordon | Clinical Nurse Specialist | 373 Breezeel School Rd, Benton, KY 42025-5376 | 2017-04-12 |
| 1275981805 | Michael Gordon | Community Health Worker | 659 E Jefferson St, Freeport, IL 61032-6027 | 2016-05-24 |
| 1104263342 | Michael Adam Gordon | Specialist/Technologist | 3802 Isabella Ave, Cincinnati, OH 45209-2112 | 2013-05-29 |
| 1902961410 | Michael Gordon | Psychiatry & Neurology | 23 Knott Dr, Glen Cove, NY 11542-4116 | 2006-12-26 |
| 1851407027 | Michael Anthony Gordon | Dentist | 829 Main St, Schererville, IN 46375-1100 | 2006-08-21 |
| 1801807912 | Michael A Gordon | Optometrist | 3901 Nw 79th Ave Ste 105, Doral, FL 33166-6554 | 2006-08-11 |
| 1821042433 | Michael Edward Gordon | Dentist | 635 Chicago Ave, Evanston, IL 60202 | 2006-05-19 |
| 1609842053 | Michael Charles Gordon | Obstetrics & Gynecology | 801 North 29th Street, Billings, MT 59101-5100 | 2006-02-26 |
| Street Address |
1800 WATER PL SE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548613508 | Calandra Johnson Togba-doya | Social Worker | 1800 Water Pl Se, Suite 240, Atlanta, GA 30339-2061 | 2016-07-14 |
| 1558600684 | Page One & Associates, LLC | Community/Behavioral Health | 1800 Water Pl Se, Ste. #240, Atlanta, GA 30339-2061 | 2013-02-09 |
| 1356691299 | Christine Jean Page | Counselor | 1800 Water Pl Se, Ste. 240, Atlanta, GA 30339-2061 | 2012-09-19 |
| 1578605622 | Vera Sue Delorenzo | Physical Therapy Assistant | 1800 Water Pl Se, Suite 230, Atlanta, GA 30339-2061 | 2007-02-13 |
| 1376694547 | Cynthia A Newcity | Counselor | 1800 Water Pl Se, Suite 220, Atlanta, GA 30339-2061 | 2007-01-15 |
| 1861553539 | Julia Stewart Mote | Physical Therapist | 1800 Water Pl Se, Suite 230, Atlanta, GA 30339-2061 | 2006-12-13 |
| 1306917877 | Children's Therapy Services, Inc | Clinic/Center | 1800 Water Pl Se, Suite 230, Atlanta, GA 30339-2061 | 2006-11-13 |
| 1972604270 | John L. Anderson | Psychiatry & Neurology | 1800 Water Pl Se, Suite 220, Atlanta, GA 30339-2061 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831598572 | Preferred Treatment Center, LLC | Family Medicine | 108 Corporate Sq Ste A, Dublin, GA 31021-4252 | 2014-08-19 |
| 1073714580 | James R Granger IIi | Family Medicine | 3823 Roswell Rd Ste 201, Marietta, GA 30062-6295 | 2007-05-30 |
| 1588770895 | Melissa Lee Warner | Family Medicine | 310 Black Bear Rdg, Sautee, GA 30571-3500 | 2006-08-21 |
| 1013952852 | William Robert Rout | Family Medicine | 963 Bennock Mill Dr., Augusta, GA 30906 | 2006-06-17 |
| 1073512125 | Scott Thomas Miles | Family Medicine | 5155 Ga Highway 40 East, St. Marys, GA 31558 | 2005-07-20 |
| 1891393005 | Jubilee Primary Care PC | Family Medicine | 3312 Heathchase Ln, Suwanee, GA 30024-4639 | 2020-10-12 |
| 1801241559 | Thomas George Savel | Family Medicine | 767 Peachtree Pkwy, Suite 4, Cumming, GA 30041-9348 | 2016-05-02 |
| 1427484963 | Physician Management & Consulting | Family Medicine | 1050 Shiloh Rd Nw, Suite 311, Kennesaw, GA 30144-7194 | 2013-09-16 |
| 1518255777 | Michael C. Gordon Md, LLC | Family Medicine | 4015 S Cobb Dr Se, Suite 220, Smyrna, GA 30080-6303 | 2011-07-21 |
| 1467611129 | Accelerated Recovery Centers | Family Medicine | 1640 Powers Ferry Road, Building 7 Suite 300, Marietta, GA 30067 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.