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SHANNON TERRELL GORDON LCSW
NPI 1306948393
Social Worker - Clinical in Forsyth, GA

Active since September 01, 2006PECOS Enrolled
79 KYNDALL LN, FORSYTH, GA 31029(478) 954-6802 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Terrell Gordon Lcsw NPPES

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

SHANNON TERRELL GORDON LCSW (NPI 1306948393) is an individual clinical provider in Forsyth, Georgia, licensed in Georgia (CSW001459) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306948393
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANNON TERRELL GORDONCredential: LCSW
Location Address79 KYNDALL LNForsyth, GA 31029-8747
Mailing Address79 Kyndall LnForsyth, GA 31029-8747 · (478) 954-6802
Phone(478) 954-6802
Sole ProprietorYes
Enumeration DateSeptember 1, 2006
Last NPPES UpdateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1306948393 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 · CSW001459
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.
79 KYNDALL LN, Forsyth, GA 31029
Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon Terrell Harvey

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Terrell 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 Shannon Gordon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thriving Lane
485 mi
Psychiatry
4933 TAMIAMI TRL N STE 200
Naples, FL 34103
  • Reassigned Medicare billing, Georgia enrollment
  • 19 clinicians in this Medicare group
NPI 1376122515 (347) 830-7720
Grow Healthcare Group PA
546 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31029 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 $53.31 – $164.04
Typical copayment $0.00 (range $13.32 – $41.01)
Most-billed visit code NA
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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 Shannon Gordon's NPI number?

The NPI number for Shannon Gordon is 1306948393. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Shannon Terrell Harvey.

Where is Shannon Gordon located?

Shannon Gordon practices at 79 Kyndall Ln, Forsyth, GA 31029. The listed phone number is (478) 954-6802.

What is Shannon Gordon's specialty?

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

Is Shannon Gordon enrolled in Medicare?

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

Which organizations bill Medicare for Shannon Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Gordon reassigns Medicare benefits to 2 organizations: Thriving Lane (Naples, FL) 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 Shannon Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Gordon accept?

Health plans from CareSource and UnitedHealthcare list Shannon 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 Shannon Gordon was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.