MELISSA GWYN GORDON APRN
NPI 1194595520
Nurse Practitioner - Family in Griffin, GA

Q: What is Melissa Gordon's NPI number?

The NPI number for Melissa Gordon is 1194595520. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Q: What is Melissa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Gordon was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since January 08, 2024PECOS Enrolled

1424 N EXPRESSWAY STE 121-123, GRIFFIN, GA 30223(678) 688-2820(770) 467-9868 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Melissa Gwyn Gordon Aprn NPPES

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

MELISSA GWYN GORDON APRN (NPI 1194595520) is an individual family provider in Griffin, Georgia, licensed in Georgia (APRN-NP163255) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194595520

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA GWYN GORDONCredential: APRN

Location Address1424 N EXPRESSWAY STE 121-123Griffin, GA 30223-1753

Mailing Address1424 N Expressway Ste 121-123Griffin, GA 30223-1753 · (678) 688-2820 · Fax (770) 467-9868

Phone(678) 688-2820

Fax(770) 467-9868

Sole ProprietorYes

Enumeration DateJanuary 8, 2024

Last NPPES UpdateDecember 3, 2025

NPPES CertifiedDecember 3, 2025

✔ NPI 1194595520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP163255

1424 N EXPRESSWAY STE 121-123, Griffin, GA 30223

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Gwyn Gordon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 6

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

CARECONNECT HEALTH, INC

Clinic/Center (Federally Qualified Health Center (FQHC))