DR. PATRICIA LYNN GORDON-WILLIS D.M.D
NPI 1578762076
Dentist - Pediatric Dentistry in Greensboro, NC

Q: What is Patricia Gordon-willis's NPI number?

The NPI number for Patricia Gordon-willis is 1578762076. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Q: What is Patricia Gordon-willis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since July 13, 2007PECOS Enrolled

2643 RANDLEMAN RD, GREENSBORO, NC 27406(336) 544-2758 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Patricia Lynn Gordon-willis D.m.d NPPES

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

DR. PATRICIA LYNN GORDON-WILLIS D.M.D (NPI 1578762076) is an individual pediatric dentistry provider in Greensboro, North Carolina, licensed in North Carolina (12416) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578762076

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. PATRICIA LYNN GORDON-WILLISCredential: D.M.D

Location Address2643 RANDLEMAN RDGreensboro, NC 27406-5153

Mailing Address302 N Eugene St Apt 311Greensboro, NC 27401-3398 · (601) 212-5917

Phone(336) 544-2758

Sole ProprietorNo

Enumeration DateJuly 13, 2007

Last NPPES UpdateNovember 22, 2021

NPPES CertifiedNovember 22, 2021

✔ NPI 1578762076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NC · 12416

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License DN014937 (GA)

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DEN1000945 (DC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2643 RANDLEMAN RD, Greensboro, NC 27406

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield 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. Patricia Lynn Gordon-willis D.m.d 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 27406 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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 11

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

DR. HAMZA AHMED DMD

Dentist (General Practice)