Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PHILIP NATHAN NORDSTROM MD
NPI 1700627080
Family Medicine in Fort Eisenhower, GA

Active since June 03, 2024PECOS Enrolled
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905(706) 787-9358 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Jun 3, 2024 (2 updates tracked since 2024).

About Dr. Philip Nathan Nordstrom Md NPPES

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

DR. PHILIP NATHAN NORDSTROM MD (NPI 1700627080) is an individual family medicine provider in Fort Eisenhower, Georgia, licensed in Georgia (114266) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700627080
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILIP NATHAN NORDSTROMCredential: MD
Location Address300 EAST HOSPITAL ROADFort Eisenhower, GA 30905-5650
Mailing Address300 E. Hospital RoadFort Gordon, GA 30905 · (706) 787-9399 · Fax (706) 787-0304
Sole ProprietorYes
Enumeration DateJune 3, 2024
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1700627080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 114266
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
300 EAST HOSPITAL ROAD, Fort Eisenhower, GA 30905

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

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. Philip Nathan Nordstrom Md 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 30905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Physical Therapist
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905

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 Philip Nordstrom's NPI number?

The NPI number for Philip Nordstrom is 1700627080. It was assigned to this individual provider in the NPPES registry on June 3, 2024.

Where is Philip Nordstrom located?

Philip Nordstrom practices at 300 East Hospital Road, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-9358.

What is Philip Nordstrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Nordstrom enrolled in Medicare?

Yes. Philip Nordstrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Nordstrom was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.