| Jefferson Taylor Gordon, MD | |
|
100 Professional Pl, Suite 202, Carrollton, GA 30117-3802 | |
| (770) 832-6861 | |
| (770) 832-9432 |
| Full Name | Jefferson Taylor Gordon |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 100 Professional Pl, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336167816 | NPI | - | NPPES |
| 000460996C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 033338 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
| Tanner Home Health Services | Carrollton, GA | Home health agency |
| Kindred At Home | Peachtree city, GA | Home health agency |
| Hospice Care- A Part Of Tanner | Carrollton, GA | Hospice |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Higgins General Hospital | Bremen, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Taylor Gordon, MD 100 Professional Pl, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861 | Jefferson Taylor Gordon, MD 100 Professional Pl, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861 |
Andrew Chanyang Rho, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153 | |
Dr. Kenneth L Boss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Maple St, Carrollton, GA 30117 Phone: 678-390-7915 | |
Dr. Hermogenes Pagsisihan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Park, Suite 204, Carrollton, GA 30117 Phone: 770-834-3351 Fax: 770-830-1518 | |
Erin Michelle Smith, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 | |
Kisha Lafleur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Gregory Benjamin Floyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 |