LISA GORDON FNP
NPI 1497187744
Nurse Practitioner - Family in Orangeburg, SC

Active since August 08, 2013PECOS Enrolled
1175 COOK RD, SUITE 230, ORANGEBURG, SC 29118(803) 395-3900(803) 395-3920 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Gordon Fnp NPPES

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

LISA GORDON FNP (NPI 1497187744) is an individual family provider in Orangeburg, South Carolina, licensed in South Carolina (18441) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497187744
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA GORDONCredential: FNP
Location Address1175 COOK RD, SUITE 230Orangeburg, SC 29118-8201
Mailing AddressPo Box 1245Orangeburg, SC 29116-1245 · (803) 395-4561 · Fax (803) 395-2237
Fax(803) 395-3920
Sole ProprietorNo
Enumeration DateAugust 8, 2013
Last NPPES UpdateJanuary 9, 2015
NPI 1497187744 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 SC · 18441
1175 COOK RD, Orangeburg, SC 29118

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Gordon Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29118 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Surgery
1175 COOK RD, SUITE 320
ORANGEBURG, SC 29118
Specialist
1175 COOK RD, SUITE 115
ORANGEBURG, SC 29118
Oral & Maxillofacial Surgery
1175 COOK RD, SUITE 135
ORANGEBURG, SC 29118
Physician Assistant
1175 COOK RD, SUITE 320
ORANGEBURG, SC 29118
Obstetrics & Gynecology
1175 COOK RD, SUITE 305
ORANGEBURG, SC 29118
Specialist
1175 COOK RD
ORANGEBURG, SC 29118
Internal Medicine (Cardiovascular Disease)
1175 COOK RD, STE 225
ORANGEBURG, SC 29118
Dentist (Oral and Maxillofacial Pathology)
1175 COOK RD, STE 135
ORANGEBURG, SC 29118

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 Lisa Gordon's NPI number?

The NPI number for Lisa Gordon is 1497187744. It was assigned to this individual provider in the NPPES registry on August 8, 2013.

Where is Lisa Gordon located?

Lisa Gordon practices at 1175 Cook Rd Suite 230, Orangeburg, SC 29118. The listed phone number is (803) 395-3900.

What is Lisa Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Gordon enrolled in Medicare?

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

What insurance does Lisa Gordon accept?

Health plans from BlueCross BlueShield of South Carolina list Lisa 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 Lisa Gordon was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.