NICOLE MICHELLE GORDON (NPI# 1982686523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982686523 |
| Entity Type | Individual |
| Full Name | NICOLE MICHELLE GORDON |
| Credential | MD |
| Practice Address |
550 Peachtree St Ne Ste 1600 Atlanta GA 30308-2246 |
| Mailing Address |
1001 Summit Blvd Ste 200 Brookhaven GA 30319-6410 |
| Practice Telephone | 4048811094 |
| Practice Fax Number | 4048741249 |
| Mailing Telephone | 7709891668 |
| Mailing Fax Number | 6783881749 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
53536 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 647773539A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1477192953 | Nicole Denise Gordon | Student in an Organized Health Care Education/Training Program | 26 Bog Hill Rd, Weare, NH 03281-4200 | 2019-12-31 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1609217447 | Nicole Gordon | Pharmacist | 2352 Shire Way, Oakdale, CA 95361-8923 | 2013-07-09 |
| 1013123470 | Nicole Thornton Gordon | Dentist | 691 Alderman Rd, Palm Harbor, FL 34683-2602 | 2007-05-15 |
| 1164636064 | Nicole Marie Gordon | Occupational Therapist | 2611 Guthrie Ave N, Oakdale, MN 55128-3924 | 2007-05-09 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1154834604 | Nicole Gordon | Occupational Therapist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2017-11-07 |
| 1720504376 | Nicole Gordon | Case Manager/Care Coordinator | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2017-08-16 |
| 1285166140 | Nicole Gordon | Student in an Organized Health Care Education/Training Program | 4860 Y St, Ste 1600, Sacramento, CA 95817-2307 | 2017-03-30 |
| Street Address |
550 PEACHTREE ST NE STE 1600 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659922805 | Martina Jane Vis | Physician Assistant | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2019-09-27 |
| 1306233739 | Evelia Alejandra Hormes | Physician Assistant | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2015-04-23 |
| 1720495021 | Katia Fayola Outlaw | Registered Nurse | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2014-07-18 |
| 1003242926 | Heather Rose Van Duys | Physician Assistant | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2013-09-24 |
| 1760700579 | Sarah Eve Yeskel | Physician Assistant | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741448 | Gastro Consultants of Atlanta PC | Internal Medicine | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, GA 30342-1786 | 2019-07-02 |
| 1346762838 | Precision Medical Center PC | Internal Medicine | 4646 N Shallowford Rd Ste 555, Atlanta, GA 30338-6308 | 2017-07-17 |
| 1720345135 | Mohammed Asker Razvi | Internal Medicine | 1648 Pierce Dr Suite 327, Atlanta, GA 30322-0001 | 2012-04-23 |
| 1811271083 | Jasna Ikanovic Beard | Internal Medicine | 5673 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-2147 | 2011-10-05 |
| 1326334608 | Sheela S Reddy | Internal Medicine | 1968 Peachtree Rd Nw Bldg 776th, Atlanta, GA 30309-1281 | 2011-06-24 |
| 1295025237 | Ravi Siddharth Vora | Internal Medicine | 1365 Clifton Rd, Ne, Bldg B, 6th Floor Ste. 6100, Atlanta, GA 30322 | 2011-04-11 |
| 1386943959 | Leslie Steven Leighton | Internal Medicine | 1375 Harvard Rd Ne, Atlanta, GA 30306-2431 | 2011-03-22 |
| 1437335288 | Julia F Massaad | Internal Medicine | 615 Michael St Ne Ste 201, Atlanta, GA 30322-1047 | 2008-01-10 |
| 1457550782 | Heba Nagi Iskandar | Internal Medicine | Emory University 1365 Clifton Rd Ne, Building B, Suite 1200, Atlanta, GA 30322-0001 | 2007-07-17 |
| 1962616946 | Girish Anand | Internal Medicine | 5671 Peachtree Dunwoody Rd Ste 600, Atlanta, GA 30342 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
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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.