MICHAEL C. GORDON MD, LLC
NPI 1518255777
Family Medicine - Addiction Medicine in Smyrna, GA

Active since July 21, 2011
4015 S COBB DR SE, SUITE 220, SMYRNA, GA 30080(770) 801-0980(770) 801-9039 Get Directions Write a Review

NPPES record last updated: July 21, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael C. Gordon Md, Llc NPPES

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

MICHAEL C. GORDON MD, LLC (NPI 1518255777) is a healthcare organization registered as an addiction medicine in Smyrna, Georgia and active in the NPI registry since July 2011. The organization lists Michael C Gordon, Owner, as its authorized official.

NPPES Registry Identity

NPI1518255777
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameMICHAEL C. GORDON MD, LLC
Location Address4015 S COBB DR SE, SUITE 220Smyrna, GA 30080-6303
Mailing Address4015 S Cobb Dr Se, Suite 220Smyrna, GA 30080-6303 · (770) 801-0980 · Fax (770) 801-9039
Fax(770) 801-9039
Organization SubpartNo
Authorized OfficialMichael C GordonOwner · (770) 801-0980
Enumeration DateJuly 21, 2011
✔ NPI 1518255777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in GA · 26534
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
4015 S COBB DR SE, Smyrna, GA 30080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Counselor (Mental Health)
4015 S COBB DR SE, SUITE 100
SMYRNA, GA 30080
Social Worker (Clinical)
4015 S COBB DR SE, STE 4
SMYRNA, GA 30080
Counselor (Professional)
4015 S COBB DR SE, SUITE 100
SMYRNA, GA 30080
Counselor (Professional)
4015 S COBB DR SE, SUITE 130
SMYRNA, GA 30080
Psychiatry & Neurology (Psychiatry)
4015 S COBB DR SE, SUITE 255
SMYRNA, GA 30080
Counselor (Professional)
4015 S COBB DR SE, SUITE 260
SMYRNA, GA 30080
Social Worker (Clinical)
4015 S COBB DR SE
SMYRNA, GA 30080
Social Worker (Clinical)
4015 S COBB DR SE, SUITE 4
SMYRNA, GA 30080

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 Michael C. Gordon MD, LLC's NPI number?

The NPI number for Michael C. Gordon MD, LLC is 1518255777. It was assigned to this organization in the NPPES registry on July 21, 2011.

Where is Michael C. Gordon MD, LLC located?

Michael C. Gordon MD, LLC is located at 4015 S Cobb Dr SE Suite 220, Smyrna, GA 30080. The listed phone number is (770) 801-0980.

What is Michael C. Gordon MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Michael C. Gordon MD, LLC was last updated on July 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.