CAROLYN JACKMAN GORDON CRNP, PMHNP-BC
NPI 1710711262
Nurse Practitioner - Psychiatric/Mental Health in Lumberton, NC
About Carolyn Jackman Gordon Crnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROLYN JACKMAN GORDON CRNP, PMHNP-BC (NPI 1710711262) is an individual psychiatric/mental health provider in Lumberton, North Carolina, licensed in North Carolina (5022591) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carolyn Jackman Gordon Crnp, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Carolyn Jackman Gordon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Leonardtown, MD 20650
- Reassigned Medicare billing, Maryland enrollment
- 4 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 128 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, North Carolina enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28358 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUMBERTON, NC 28358
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 Carolyn Jackman Gordon's NPI number?
The NPI number for Carolyn Jackman Gordon is 1710711262. It was assigned to this individual provider in the NPPES registry on August 28, 2024.
Where is Carolyn Jackman Gordon located?
Carolyn Jackman Gordon practices at 401 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 370-0434.
What is Carolyn Jackman Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Carolyn Jackman Gordon enrolled in Medicare?
Yes. Carolyn Jackman Gordon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carolyn Jackman Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Jackman Gordon reassigns Medicare benefits to 3 organizations: Mem Scepter Home & Behavioral (Leonardtown, MD), Axis Healthcare Group (Silver Spring, MD) and Mcs, PC (Silver Spring, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Jackman Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carolyn Jackman Gordon accept?
Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Carolyn Jackman 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 Carolyn Jackman Gordon was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Carolyn Jackman Gordon, CRNP, PMHNP-BC · NPI 1710711262
Psychiatric/Mental Health physician in Lumberton, North Carolina. Individual provider, active in the CMS NPPES registry since August 28, 2024.
## Identity
- **NPI:** 1710711262 (Entity type: Individual)
- **Enumerated:** August 28, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5022591 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 401 W 27TH ST, Lumberton, NC 28358-3019
- **Phone:** (910) 370-0434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mem Scepter Home & Behavioral (NPI 1407462559, Leonardtown, MD); Axis Healthcare Group (NPI 1326295098, Silver Spring, MD); Mcs, PC (NPI 1538717723, Silver Spring, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710711262) · Data from the CMS NPPES public registry.