DR. MICHAEL COWL GORDON MD NPI 1184608077

NPI Information

NPI: 1184608077
Provider Name: DR. MICHAEL COWL GORDON, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
1800 WATER PL SE
SUITE 100
ATLANTA, GA
ZIP 30339
Phone: (770) 801-0980
Get Directions

DR. Michael Cowl Gordon, MD is an addiction medicine family medicine in Atlanta, GA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Michael Cowl Gordon, MD NPI is 1184608077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 WATER PL SE
SUITE 100
ATLANTA, GA
ZIP 30339-061
Phone: (770) 801-0980
Fax: (770) 801-9039

The enumeration date for this NPI number is 12/4/2005 and was last updated on 6/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	026534	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B53172	MEDICARE UPIN	GEORGIA
2	79BBBBW	MEDICARE PIN	GEORGIA
3	461670	OTHER	GEORGIA	BLUE CROSS BLUE SHIELD
4	000290463A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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