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DESTINY GORDON
NPI 1417788902
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since August 08, 2024
830 WESTVIEW DR SW, ATLANTA, GA 30314(404) 752-1500 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Aug 8, 2024 (2 updates tracked since 2024).

About Destiny Gordon NPPES

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

DESTINY GORDON (NPI 1417788902) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1417788902
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESTINY GORDON
Location Address830 WESTVIEW DR SWAtlanta, GA 30314-3773
Mailing Address830 Westview Dr SwAtlanta, GA 30314-3773
Phone(404) 752-1500
Sole ProprietorNo
Enumeration DateAugust 8, 2024
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1417788902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
830 WESTVIEW DR SW, Atlanta, GA 30314
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Other Providers at the Same Location NPPES 2

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

CRAIG BOYD ATC LAT
Specialist/Technologist (Athletic Trainer)
830 WESTVIEW DR SW
ATLANTA, GA 30314
Fulton County (404) 681-2800
SERGIO J SANDERS
Student in an Organized Health Care Education/Training Program
830 WESTVIEW DR SW
ATLANTA, GA 30314
Fulton County (470) 639-0999

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 Destiny Gordon's NPI number?

The NPI number for Destiny Gordon is 1417788902. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Destiny Gordon located?

Destiny Gordon practices at 830 Westview Dr SW, Atlanta, GA 30314. The listed phone number is (404) 752-1500.

What is Destiny Gordon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Destiny Gordon was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.