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DR. GARY G. GORDON D.O.
NPI 1124010640
Family Medicine - Geriatric Medicine in Meridian, MS

Active since August 19, 2005
1800 12TH ST, MERIDIAN, MS 39301(601) 703-9265(601) 703-9401 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary G. Gordon D.o. NPPES

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

DR. GARY G. GORDON D.O. (NPI 1124010640) is an individual geriatric medicine provider in Meridian, Mississippi, licensed in Mississippi (07448) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1124010640
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameDR. GARY G. GORDONCredential: D.O.
Location Address1800 12TH STMeridian, MS 39301-4158
Mailing Address1800 12th StMeridian, MS 39301-4158 · (601) 703-9265 · Fax (601) 703-9936
Phone(601) 703-9265
Fax(601) 703-9401
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateNovember 6, 2013
✔ NPI 1124010640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in MS · 07448
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
1800 12TH ST, Meridian, MS 39301
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Other Identifiers 7

Medicare OSCAR/certification012920562MS
Other0130017MS · United Health Care
Other080030813Railroad Medicare
Other000039981AL · Medicaid Of Al
Other73003105AL · Blue Cross Of Al
Medicare UPIND00796
Medicaid04458061MS

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.

AMANDA DANIELLE SIMPSON
Nurse Practitioner
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700
PATTI SUZANNE WEAVER ACNP
Nurse Practitioner (Acute Care)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-4065
JAMEY D. ROBERTS CRNA
Nurse Anesthetist, Certified Registered
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-9687
RUSH MEDICAL FOUNDATION
Pharmacy (Community/Retail Pharmacy)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-2757
DR. RALPH E. WILLIAMS M.D.
Radiology (Diagnostic Radiology)
1800 12TH ST, RUSH MEDICAL GROUP INC.
MERIDIAN, MS 39301
Lauderdale County (601) 703-9544
DR. ADAM M PARKER M.D.
Internal Medicine (Gastroenterology)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700
ALISHA L MILLER FNP
Nurse Practitioner (Family)
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 703-4600
DR. MORGAN ALYSE BOSWELL D.O.
Obstetrics & Gynecology
1800 12TH ST
MERIDIAN, MS 39301
Lauderdale County (601) 484-6700

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 Gary Gordon's NPI number?

The NPI number for Gary Gordon is 1124010640. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Gary Gordon located?

Gary Gordon practices at 1800 12th St, Meridian, MS 39301. The listed phone number is (601) 703-9265.

What is Gary Gordon's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Gary Gordon was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.