DR. MAXIE LERONE GORDON (NPI# 1427018613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427018613 |
| Entity Type | Individual |
| Full Name | DR. MAXIE LERONE GORDON |
| Credential | MD |
| Practice Address |
590 Springridge Rd Clinton MS 39056-5606 |
| Practice Telephone | 6014888101 |
| Practice Fax Number | 8664992129 |
| Mailing Telephone | 6014888101 |
| Mailing Fax Number | 8664992129 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9801288 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 9014277 | 05 | |
| MS | 08723392 | 05 |
| Street Address |
590 SPRINGRIDGE RD |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-5606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144606773 | Noel Tello | Physical Therapy Assistant | 590 Springridge Rd, Suite B, Clinton, MS 39056-5641 | 2015-08-05 |
| 1306246541 | United Rehab Associates of Clinton, LLC | Clinic/Center | 590 Springridge Rd, Suite B, Clinton, MS 39056-5641 | 2014-08-25 |
| 1124456850 | Amanda Monique Carson-griffin | Nurse Practitioner | 590 Springridge Rd, Clinton, MS 39056-5606 | 2013-10-15 |
| 1114105665 | Maxie Gordon Md & Associates, Pllc | Psychiatry & Neurology | 590 Springridge Rd, Clinton, MS 39056 | 2008-02-07 |
| 1629272596 | Stacy Briggs | Clinical Nurse Specialist | 590 Springridge Rd, Clinton, MS 39056-5606 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205271897 | Rocksheng Zhong | Psychiatry & Neurology | 1800 Community Dr, Clinton, MO 64735 | 2013-05-08 |
| 1134354244 | Joseph Robert Perry | Psychiatry & Neurology | 11 Post Office Sq, Clinton, CT 06413-2025 | 2009-05-19 |
| 1700035722 | Jennifer Smith | Psychiatry & Neurology | 1 Kirkland Ave Ste 202, Clinton, NY 13323-1426 | 2008-09-15 |
| 1356598668 | Brian Evan Tugana | Psychiatry & Neurology | 600 5th Ave S, Clinton, IA 52732-4618 | 2008-08-19 |
| 1922217199 | Shobhana B Vora | Psychiatry & Neurology | Edna Mahan Correctional Facility, 30 Pittstown Rd, Clinton, NJ 08809 | 2007-05-22 |
| 1801001607 | John J Goodwin Jr. | Psychiatry & Neurology | 30 County Route 513, Clinton, NJ 08809 | 2007-05-14 |
| 1578653838 | Neal M. Borenstein | Psychiatry & Neurology | 2 Fountain St, Clinton, NY 13323-1725 | 2006-10-14 |
| 1043243686 | Winston Jennings Jr. | Psychiatry & Neurology | 306 Beaman St, Clinton, NC 28328-2908 | 2006-07-08 |
| 1588629414 | Thomas Lee Earwood | Psychiatry & Neurology | 1320 19th Ave Nw, Clinton, IA 52732-2752 | 2006-04-20 |
| 1982085676 | Aneel Ahmed Ursani | Psychiatry & Neurology | 1602 N 2nd St, Clinton, MO 64735-1192 | 2015-06-18 |
| Find all providers in CLINTON | ||||
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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.