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GORDON MEDICAL ARTS CLINIC
NPI 1114105665
Psychiatry & Neurology - Psychiatry in Clinton, MS

Active since February 07, 2008CLIA 25D2273330 · Waiver
590 SPRINGRIDGE RD, CLINTON, MS 39056(601) 488-8101(662) 287-5678 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1114105665
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMAXIE GORDON MD & ASSOCIATES, PLLC
Location Address590 SPRINGRIDGE RDClinton, MS 39056
Mailing Address590 Springridge RdClinton, MS 39056-5606 · (601) 488-8101 · Fax (662) 287-5678
Phone(601) 488-8101
Fax(662) 287-5678
Organization SubpartNo
Authorized OfficialTeandra WaltonDirector Of Business Operations · (601) 488-8101
Enumeration DateFebruary 7, 2008
Last NPPES UpdateAugust 21, 2019
✔ NPI 1114105665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MS · 9801288
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
590 SPRINGRIDGE RD, Clinton, MS 39056
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Other Names 1

Doing Business AsGordon Medical Arts Clinic

Secondary Practice Location 1

Location 1102E N CASS STCORINTH, MS 38834-0000 · Phone (662) 665-1545 · Fax (662) 287-5678

Other Identifiers 1

Medicaid08723392MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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, MS
Active · expires Dec 11, 2026
CLIA Number25D2273330
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorDr. Maxie L. Gordon
Laboratory Phone(601) 488-8101
Laboratory LocationGordon Medical Arts Clinic590 Springridge Rd, Clinton, MS 39056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. AMANDA MONIQUE CARSON-GRIFFIN FNP-BC
Nurse Practitioner (Family)
590 SPRINGRIDGE RD
CLINTON, MS 39056
Hinds County (601) 488-8101
NOEL TELLO LPTA
Physical Therapy Assistant
590 SPRINGRIDGE RD, SUITE B
CLINTON, MS 39056
Hinds County (601) 473-2317
UNITED REHAB ASSOCIATES OF CLINTON, LLC
Clinic/Center (Physical Therapy)
590 SPRINGRIDGE RD, SUITE B
CLINTON, MS 39056
Hinds County (601) 473-2317
DR. MAXIE LERONE GORDON MD
Psychiatry & Neurology (Psychiatry)
590 SPRINGRIDGE RD
CLINTON, MS 39056
Hinds County (601) 488-8101
NP CARE ANYWHERE LLC
Family Medicine (Adult Medicine)
590 SPRINGRIDGE RD
CLINTON, MS 39056
Hinds County (601) 488-8101

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 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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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 with the weekly NPPES data releases published by CMS.