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DR. BERTHA LYNN GORDON M.D.
NPI 1508149600
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Active since September 24, 2011PECOS Enrolled
139 RALPH MCGILL BLVD NE, ATLANTA, GA 30308(404) 589-9040(404) 589-1615 Get Directions Write a Review

NPPES record last updated: September 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bertha Lynn Gordon M.d. NPPES

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

DR. BERTHA LYNN GORDON M.D. (NPI 1508149600) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (49018) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1508149600
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. BERTHA LYNN GORDONCredential: M.D.
Location Address139 RALPH MCGILL BLVD NEAtlanta, GA 30308-3339
Mailing Address139 Ralph Mcgill Blvd NeAtlanta, GA 30308-3339 · (404) 589-9040 · Fax (404) 589-1615
Phone(404) 589-9040
Fax(404) 589-1615
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateSeptember 24, 2011
✔ NPI 1508149600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in GA · 49018
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
139 RALPH MCGILL BLVD NE, Atlanta, GA 30308
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Dr. Bertha Lynn Gordon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618254319
PECOS Enrollment IDI20170508000015
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 30308 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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 4

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

POSITIVE IMPACT, INC.
Community/Behavioral Health
139 RALPH MCGILL BLVD NE, SUITE #301
ATLANTA, GA 30308
Fulton County (404) 589-9040
CLAUDIA BECERRA LPC
Counselor (Mental Health)
139 RALPH MCGILL BLVD NE
ATLANTA, GA 30308
Fulton County (404) 589-9040
DR. GWEN YVONNE DAVIES PH.D.
Psychologist (Counseling)
139 RALPH MCGILL BLVD NE
ATLANTA, GA 30308
Fulton County (404) 589-9040
MRS. NATOYA NICOLE MCMURRAY LCSW
Social Worker (Clinical)
139 RALPH MCGILL BLVD NE, STE 301
ATLANTA, GA 30308
Fulton County (404) 589-9040

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 Bertha Gordon's NPI number?

The NPI number for Bertha Gordon is 1508149600. It was assigned to this individual provider in the NPPES registry on September 24, 2011.

Where is Bertha Gordon located?

Bertha Gordon practices at 139 Ralph Mcgill Blvd NE, Atlanta, GA 30308. The listed phone number is (404) 589-9040.

What is Bertha Gordon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bertha Gordon enrolled in Medicare?

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

What insurance does Bertha Gordon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Bertha 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 Bertha Gordon was last updated on September 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.