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Dr. Michael A Gordon , PhD

Psychologist β€’ Duluth, GA

Active NPI 1508958489 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3650 Steve Reynolds Blvd, Department Of Behavioral Health
Duluth, GA 300964506

Call 7709316012 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3650 Steve Reynolds Blvd
Department Of Behavioral Health

Duluth, GA 300964506

Telephone 7709316012
Organization at the Same NPPES Address or Phone
Kaiser Foundation Health Plan Of Georgia, Inc. Facility NPI 1396781779

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: The Southeast Permanente Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1994

Years since graduation

32 years (graduated 1994)

CMS Doctors and Clinicians data list 1994 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Gordon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Gordon as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Duluth and Georgia

10 active clinicians are listed under Psychologist with a practice address in Duluth, GA (890 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES GA PSY002028

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20040913000719

Enrollment State Jurisdiction

GA

PECOS Control ID

1658348321

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Southeast Permanente Medical Group

3650 Steve Reynolds Blvd, Duluth, GA 300964506

Phone: 7709316026

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
Dr. Richard Abrohams , MD

Internal Medicine - Geriatric Medicine

NPI 1497831390

Doctor of Medicine (M.D.)

Dr. Cheryl Basden , DO

Family Medicine

NPI 1427175462

Doctor of Osteopathic Medicine (D.O.)

Dr. Julia Campbell , MD

Internal Medicine

NPI 1366544397

Doctor of Medicine (M.D.)

Dr. Paula Carr , MD

Family Medicine

NPI 1801869193

Doctor of Medicine (M.D.)

NPI 1629087465

Doctor of Medicine (M.D.)

NPI 1326054909

Doctor of Medicine (M.D.), Master of Business Administration

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location January 13, 2022

Registered at 3650 STEVE REYNOLDS BLVD, DEPARTMENT OF BEHAVIORAL HEALTH, DULUTH, GA 300964506 (Tel: 7709316012)

πŸ“
Updated Business Mailing Address January 13, 2022

Registered at 3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 303051717 (Tel: 4043647000)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3650 STEVE REYNOLDS BOUL, DEPARTMENT OF BEHAVIORAL HEALTH, DULUTH, GA 30096 (Tel: 7709316012)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305 (Tel: 4043647000)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as MICHAEL GORDON, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (license number reported to NPPES: GA PSY002028)

🟒
Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1508958489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: January 13, 2022
Sole Proprietor: No

Mailing Address

3495 Piedmont Rd Ne, Nine Piedmont Center

Atlanta, GA 303051717

Phone: 4043647000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.