TANYA LYNN GORDON APRN NP-C
NPI 1366800112
Nurse Practitioner - Family in Atlanta, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Tanya Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, Georgia enrollment
- 69 clinicians in this Medicare group
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 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.
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.
ATLANTA, GA 30309
ATLANTA, GA 30309
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 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.
Where is Tanya Gordon located?
Tanya Gordon practices at 2020 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 350-2020.
What is Tanya Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tanya Gordon enrolled in Medicare?
Yes. Tanya 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.
Which organization bills Medicare for Tanya Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Gordon reassigns Medicare benefits to Shepherd Center, Inc. (GA). The 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 Tanya Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Tanya Lynn Gordon, APRN NP-C · NPI 1366800112
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since February 8, 2016.
## Identity
- **NPI:** 1366800112 (Entity type: Individual)
- **Enumerated:** February 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN181470 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2020 PEACHTREE RD NW, Atlanta, GA 30309-1426
- **Phone:** (404) 350-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Shepherd Center, Inc. (GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 31, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1366800112) · Data from the CMS NPPES public registry.