DENNETT HOWE GORDON PHD
NPI 1285721753
Psychologist in Rome, GA

Active since October 06, 2006PECOS EnrolledAccepts Medicare Assignment
111 GREEN VIEW RD SW, ROME, GA 30165(706) 235-1400(706) 510-1357 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dennett Howe Gordon Phd NPPES

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

DENNETT HOWE GORDON PHD (NPI 1285721753) is an individual psychologist in Rome, Georgia, licensed in Georgia (PSY003017) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1285721753
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDENNETT HOWE GORDONCredential: PHD
Location Address111 GREEN VIEW RD SWRome, GA 30165-4305
Mailing AddressPo Box 5072Rome, GA 30162-5072 · (706) 235-1400 · Fax (706) 378-8840
Fax(706) 510-1357
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 6, 2006
Last NPPES UpdateJanuary 18, 2022
NPPES CertifiedJanuary 18, 2022
NPI 1285721753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in GA · PSY003017
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
111 GREEN VIEW RD SW, Rome, GA 30165

Other Identifiers 1

Medicaid108296834BGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dennett Howe Gordon Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981600038
PECOS Enrollment IDI20061012000151
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.

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
111 GREEN VIEW RD SW
ROME, GA 30165

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 Dennett Gordon's NPI number?

The NPI number for Dennett Gordon is 1285721753. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Dennett Gordon located?

Dennett Gordon practices at 111 Green View Rd SW, Rome, GA 30165. The listed phone number is (706) 235-1400.

What is Dennett Gordon's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dennett Gordon enrolled in Medicare?

Yes. Dennett Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dennett Gordon accept?

Health plans from Alliant Health Plans, Inc. and Providence Health Plan list Dennett 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 Dennett Gordon was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.