| Mrs Shelby Lynn Gordon, NP-C | |
|
5510 Promenade Point Pkwy Nw # 160, Madison, AL 35758-6702 | |
| (256) 289-8470 | |
| (256) 993-3096 |
| Full Name | Mrs Shelby Lynn Gordon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 5510 Promenade Point Pkwy Nw # 160, Madison, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073744280 | NPI | - | NPPES |
| 513630481C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 1-163097 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthosports1st Pc | 8729402037 | 13 |
| American Family Care, Llc | 9739087818 | 168 |
| Entity Name | Emergency Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Orthosports1st Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730701673 PECOS PAC ID: 8729402037 Enrollment ID: O20200720003475 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelby Lynn Gordon, NP-C Po Box 830525, Dept# Owc 24, Birmingham, AL 35283-0525 Ph: () - | Mrs Shelby Lynn Gordon, NP-C 5510 Promenade Point Pkwy Nw # 160, Madison, AL 35758-6702 Ph: (256) 289-8470 |
Krista Young, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-975-4291 Fax: 256-288-3334 | |
Dr. Kaitlyn Wendolowski, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12205 County Line Rd, Madison, AL 35758 Phone: 256-325-6722 Fax: 256-517-8082 | |
Natalie R Baker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite B, Madison, AL 35758 Phone: 256-325-4365 Fax: 256-461-0393 | |
Chastity D Ayers, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 600 Sun Temple Dr, Madison, AL 35758 Phone: 256-288-3333 Fax: 256-288-3334 | |
Mr. Blake Hamilton Gilliam, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1230 Slaughter Rd Ste C, Madison, AL 35758 Phone: 256-325-0955 | |
Mrs. Ruth Morris Church, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8216 Madison Blvd, Madison, AL 35758 Phone: 256-464-9991 Fax: 256-464-9994 | |
Jacob Ryan Gray, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9238 Madison Blvd Ste 750, Madison, AL 35758 Phone: 256-724-8880 Fax: 888-951-7515 |