ANDREW DERRICK GORDON LPC
NPI 1699347112
Counselor - Professional in Fayetteville, GA

Active since July 14, 2021
500 LANIER AVE W, FAYETTEVILLE, GA 30214(404) 800-4002(404) 393-5698 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Derrick Gordon Lpc NPPES

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

ANDREW DERRICK GORDON LPC (NPI 1699347112) is an individual professional provider in Fayetteville, Georgia, licensed in Georgia (LPC012296) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1699347112
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANDREW DERRICK GORDONCredential: LPC
Location Address500 LANIER AVE WFayetteville, GA 30214-7636
Mailing Address7097 Southface WayAustell, GA 30168-6361 · (770) 314-7674
Fax(404) 393-5698
Sole ProprietorYes
Enumeration DateJuly 14, 2021
NPPES CertifiedJuly 14, 2021
NPI 1699347112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC012296
500 LANIER AVE W, Fayetteville, GA 30214

Accepted Insurance

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.

In Home Supportive Care
500 LANIER AVE W
FAYETTEVILLE, GA 30214
Community/Behavioral Health
500 LANIER AVE W, SUITE 606-A
FAYETTEVILLE, GA 30214
Social Worker (Clinical)
500 LANIER AVE W, SUITE 904
FAYETTEVILLE, GA 30214
Home Health
500 LANIER AVE W, SUITE 202
FAYETTEVILLE, GA 30214
Nursing Care
500 LANIER AVE W, STE. 908
FAYETTEVILLE, GA 30214
Religious Nonmedical Health Care Institution
500 LANIER AVE W
FAYETTEVILLE, GA 30214
Physical Therapist
500 LANIER AVE W
FAYETTEVILLE, GA 30214
Registered Nurse (Lactation Consultant)
500 LANIER AVE W
FAYETTEVILLE, GA 30214

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 Andrew Gordon's NPI number?

The NPI number for Andrew Gordon is 1699347112. It was assigned to this individual provider in the NPPES registry on July 14, 2021.

Where is Andrew Gordon located?

Andrew Gordon practices at 500 Lanier Ave W, Fayetteville, GA 30214. The listed phone number is (404) 800-4002.

What is Andrew Gordon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Andrew Gordon accept?

Health plans from CareSource list Andrew 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 Andrew Gordon was last updated on July 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.