ANNE MARIE LACKEY GORDON PA
NPI 1003471103
Physician Assistant in Shelby, NC

Active since May 03, 2019
709 N DEKALB ST, SHELBY, NC 28150(980) 487-2100 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 4 more (7 updates tracked since 2019).

About Anne Marie Lackey Gordon Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE MARIE LACKEY GORDON PA (NPI 1003471103) is an individual physician assistant in Shelby, North Carolina, licensed in North Carolina (0010-12193) and active in the NPI registry since May 2019. She maintains a secondary practice location in Kings Mountain.

NPPES Registry Identity

NPI1003471103
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNE MARIE LACKEY GORDONCredential: PA
Location Address709 N DEKALB STShelby, NC 28150-3911
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateMay 3, 2019
Last NPPES UpdateJuly 15, 20247 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
NPI 1003471103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-12193
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
709 N DEKALB ST, Shelby, NC 28150

Secondary Practice Location 1

Location 12202 Carolina Pl, Ste 200Kings Mountain, NC 28086-8807 · Phone (980) 487-2950

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
709 N DEKALB ST
SHELBY, NC 28150
Nurse Practitioner (Family)
709 N DEKALB ST
SHELBY, NC 28150
Dietitian, Registered
709 N DEKALB ST
SHELBY, NC 28150
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
709 N DEKALB ST, CAROLINAS PEDIATRIC NEUROLOGY CARE - SHELBY
SHELBY, NC 28150
Pediatrics
709 N DEKALB ST
SHELBY, NC 28150
Psychologist
709 N DEKALB ST
SHELBY, NC 28150
Pediatrics
709 N DEKALB ST
SHELBY, NC 28150
Pediatrics
709 N DEKALB ST
SHELBY, NC 28150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anne Gordon's NPI number?

The NPI number for Anne Gordon is 1003471103. It was assigned to this individual provider in the NPPES registry on May 3, 2019.

Where is Anne Gordon located?

Anne Gordon practices at 709 N Dekalb St, Shelby, NC 28150. The listed phone number is (980) 487-2100.

What is Anne Gordon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Anne Gordon accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Anne Gordon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anne Gordon was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.