DR. JESSICA KAYLA GORDON DO
NPI 1750967378
Family Medicine in Manning, SC

Q: What is Jessica Gordon's NPI number?

The NPI number for Jessica Gordon is 1750967378. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Jessica Gordon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Gordon was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

50 E HOSPITAL ST STE 3, MANNING, SC 29102(803) 435-8828 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Jun 17, 2021, Mar 26, 2021 (3 updates tracked since 2021).

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About Dr. Jessica Kayla Gordon Do NPPES

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

DR. JESSICA KAYLA GORDON DO (NPI 1750967378) is an individual family medicine provider in Manning, South Carolina, licensed in South Carolina (LL83656) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750967378

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JESSICA KAYLA GORDONCredential: DO

Location Address50 E HOSPITAL ST STE 3Manning, SC 29102-3149

Mailing Address50 E Hospital St Ste 3Manning, SC 29102-3149 · (803) 435-8829

Phone(803) 435-8828

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration

NPPES CertifiedJuly 12, 2024

✔ NPI 1750967378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SC · LL83656✔ Licensed in TX · V0405

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.

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

50 E HOSPITAL ST STE 3, Manning, SC 29102

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Secondary Practice Locations 2

Location 1555 E Cheves StFlorence, SC 29506-2617 · Phone (843) 777-2800

Location 25875 N Major DrBeaumont, TX 77713-9034 · Phone (409) 892-2262

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica Kayla Gordon Do 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.

PECOS PAC ID7719382050

PECOS Enrollment IDI20240723004282

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Baptist Beaumont Hospital

Acute Care Hospitals · Beaumont, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450346

Location3080 College StreetBeaumont, TX 77701 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29102 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 14

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

LAINE BLANK WAY

Family Medicine