MRS. DESTINY RENEE GORDON FNP-C
NPI 1407623523
Nurse Practitioner in Macon, GA

Q: What is Destiny Gordon's NPI number?

The NPI number for Destiny Gordon is 1407623523. It was assigned to this individual provider in the NPPES registry on December 8, 2023.

Q: What is Destiny Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Destiny Gordon was last updated on April 30, 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.

Active since December 08, 2023PECOS EnrolledAccepts Medicare Assignment

840 PINE ST STE 750, MACON, GA 31201(478) 633-1458(478) 633-5025 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 30, 2024, Dec 8, 2023 (2 updates tracked since 2023).

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About Mrs. Destiny Renee Gordon Fnp-c NPPES

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

MRS. DESTINY RENEE GORDON FNP-C (NPI 1407623523) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN277979) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407623523

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. DESTINY RENEE GORDONCredential: FNP-C

Location Address840 PINE ST STE 750Macon, GA 31201-7528

Mailing Address840 Pine St Ste 750Macon, GA 31201-7528 · (478) 633-1458 · Fax (478) 633-5025

Phone(478) 633-1458

Fax(478) 633-5025

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 8, 2023

Last NPPES UpdateApril 30, 20242 updates tracked since enumeration

NPPES CertifiedDecember 27, 2023

✔ NPI 1407623523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN277979

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

840 PINE ST STE 750, Macon, GA 31201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mrs. Destiny Renee Gordon Fnp-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 ID4183067382

PECOS Enrollment IDI20240205002135

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 13

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

RACHEL HINSON YOUNGBLOOD PA-C

Physician Assistant