TANYA LYNN GORDON APRN NP-C
NPI 1366800112
Nurse Practitioner - Family in Atlanta, GA

Q: What is Tanya Gordon's NPI number?

The NPI number for Tanya Gordon is 1366800112. It was assigned to this individual provider in the NPPES registry on February 8, 2016.

Q: What is Tanya 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 Tanya Gordon was last updated on January 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 08, 2016PECOS EnrolledAccepts Medicare Assignment

2020 PEACHTREE RD NW, ATLANTA, GA 30309(404) 350-2020 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tanya Lynn Gordon Aprn Np-c NPPES

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

TANYA LYNN GORDON APRN NP-C (NPI 1366800112) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN181470) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366800112

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTANYA LYNN GORDONCredential: APRN NP-C

Location Address2020 PEACHTREE RD NWAtlanta, GA 30309-1426

Mailing Address2020 Peachtree Rd NwAtlanta, GA 30309-1426 · (404) 350-7323 · Fax (404) 350-7694

Phone(404) 350-2020

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 8, 2016

Last NPPES UpdateJanuary 31, 2018

✔ NPI 1366800112 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 · RN181470

2020 PEACHTREE RD NW, Atlanta, GA 30309

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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 and accepts Medicare assignment

Tanya Lynn Gordon Aprn Np-c 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 ID9436420080

PECOS Enrollment IDI20170801001473

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 30309 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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.

MISS ASHLEY JOHNSON M.D.

Physical Medicine & Rehabilitation (Brain Injury Medicine)