GORDON MEDICAL ARTS CLINIC
NPI 1114105665
Psychiatry & Neurology - Psychiatry in Clinton, MS
About Gordon Medical Arts Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GORDON MEDICAL ARTS CLINIC (NPI 1114105665) is a healthcare organization registered as a psychiatry in Clinton, Mississippi and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through December 11, 2026, maintains a secondary practice location in Corinth, and lists Teandra Walton, Director Of Business Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gordon Medical Arts Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Gordon Medical Arts Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2273330
Gordon Medical Arts Clinic · Clinton, MSFrequently 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 Maxie Gordon MD & Associates, PLLC's NPI number?
The NPI number for Maxie Gordon MD & Associates, PLLC is 1114105665. It was assigned to this organization in the NPPES registry on February 7, 2008. The provider is doing business as Gordon Medical Arts Clinic.
Where is Maxie Gordon MD & Associates, PLLC located?
Maxie Gordon MD & Associates, PLLC is located at 590 Springridge Rd, Clinton, MS 39056. The listed phone number is (601) 488-8101.
What is Maxie Gordon MD & Associates, PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Maxie Gordon MD & Associates, PLLC enrolled in Medicare?
Yes. Maxie Gordon MD & Associates, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maxie Gordon MD & Associates, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Maxie Gordon MD & Associates, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Psychiatry (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maxie Gordon MD & Associates, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 25D2273330) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Maxie Gordon MD & Associates, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Maxie Gordon MD & Associates, PLLC 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 Maxie Gordon MD & Associates, PLLC was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gordon Medical Arts Clinic · NPI 1114105665
Psychiatry organization in Clinton, Mississippi. Organization record, active in the CMS NPPES registry since February 7, 2008.
## Identity
- **NPI:** 1114105665 (Entity type: Organization)
- **Enumerated:** February 7, 2008
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Maxie Gordon Md & Associates, Pllc
- **Organization subpart:** No
- **Authorized official:** Teandra Walton, DIRECTOR OF BUSINESS OPERATIONS
## Practice location
- **Address:** 590 SPRINGRIDGE RD, Clinton, MS 39056
- **Phone:** (601) 488-8101 · **Fax:** (662) 287-5678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2019
- **Other identifiers:** Medicaid 08723392 (MS)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1114105665) · Data from the CMS NPPES public registry.