DR. JESSICA KAYLA GORDON DO
NPI 1750967378
Family Medicine in Manning, SC
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tyler, TX 75702
- Reassigned Medicare billing, Texas enrollment
- 2,745 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.
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.
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, TXBaptist Beaumont Hospital
Acute Care Hospitals · Beaumont, TXPhysician 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.
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.
MANNING, SC 29102
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 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.
Where is Jessica Gordon located?
Jessica Gordon practices at 50 E Hospital St Ste 3, Manning, SC 29102. The listed phone number is (803) 435-8828.
What is Jessica Gordon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jessica Gordon enrolled in Medicare?
Yes. Jessica 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 organization bills Medicare for Jessica Gordon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Gordon reassigns Medicare benefits to Christus Trinity Clinic Texas (Tyler, TX). The 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 Jessica Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Gordon accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Jessica 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.
Is Jessica Gordon affiliated with any hospitals?
According to CMS data, Jessica Gordon is affiliated with Christus Southeast Texas- St Elizabeth and Baptist Beaumont Hospital.
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.
# Dr. Jessica Kayla Gordon, DO · NPI 1750967378
Family Medicine physician in Manning, South Carolina. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1750967378 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** LL83656 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 50 E HOSPITAL ST STE 3, Manning, SC 29102-3149
- **Phone:** (803) 435-8828
## 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:** Christus Trinity Clinic Texas (NPI 1285684225, Tyler, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750967378) · Data from the CMS NPPES public registry.