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JUSTIN GORDON LCSW
NPI 1265961205
Social Worker - Clinical in Peachtree Corners, GA

Active since June 05, 2017PECOS Enrolled
6624 JIMMY CARTER BLVD STE A, PEACHTREE CORNERS, GA 30071(404) 900-5450(404) 900-5453 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Justin Gordon Lcsw NPPES

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

JUSTIN GORDON LCSW (NPI 1265961205) is an individual clinical provider in Peachtree Corners, Georgia, licensed in Georgia (CSW005873) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265961205
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJUSTIN GORDONCredential: LCSW
Location Address6624 JIMMY CARTER BLVD STE APeachtree Corners, GA 30071-1727
Mailing Address6624 Jimmy Carter Blvd Ste APeachtree Corners, GA 30071-1727
Phone(404) 900-5450
Fax(404) 900-5453
Sole ProprietorYes
Enumeration DateJune 5, 2017
✔ NPI 1265961205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW005873
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6624 JIMMY CARTER BLVD STE A, Peachtree Corners, GA 30071
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Other Identifiers 1

OtherCSW005873GA · Other

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Gordon Lcsw 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Willow Oak Community Behavioral Health Center
48 mi
Community/Behavioral Health
55 JEFFERSON PKWY # 55B
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1881131860 (770) 683-6946
Grow Healthcare Group PA
612 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Group psychotherapy 90853
Group psychotherapy involves individuals discussing their issues in a group setting, led by a professional therapist. It provides a supportive environment where members can learn from each other's experiences, gain different perspectives, and develop new ways to handle challenges.
214 services18 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
163 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30071 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
$0.00 typical visit price
range $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MARY STACK LCSW
Social Worker (Clinical)
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 743-0004
MARKHAM SHEPPARD, LLC
Community/Behavioral Health
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (404) 900-5450
MRS. DAYAN CARLA BOOKMAN
Social Worker (Clinical)
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (404) 900-5450
FIRST INTEGRATED COMMUNITY CARE SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA 30071
Gwinnett County (770) 281-9819

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 Justin Gordon's NPI number?

The NPI number for Justin Gordon is 1265961205. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Justin Gordon located?

Justin Gordon practices at 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071. The listed phone number is (404) 900-5450.

What is Justin Gordon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Justin Gordon enrolled in Medicare?

Yes. Justin Gordon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Gordon reassigns Medicare benefits to 2 organizations: Willow Oak Community Behavioral Health Center (Newnan, GA) and Grow Healthcare Group PA (Miami, FL). Each 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 Justin Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Gordon accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Justin 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 Justin Gordon was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.