TYRISS IMAN GORDON FNP
NPI 1790657500
Nurse Practitioner - Family in Charlotte, NC
About Tyriss Iman Gordon Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYRISS IMAN GORDON FNP (NPI 1790657500) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5023121) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Tyriss Iman Gordon Fnp 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28210 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tyriss Gordon's NPI number?
The NPI number for Tyriss Gordon is 1790657500. It was assigned to this individual provider in the NPPES registry on September 22, 2025.
Where is Tyriss Gordon located?
Tyriss Gordon practices at 9915 Park Cedar Dr, Charlotte, NC 28210. The listed phone number is (866) 389-2727.
What is Tyriss Gordon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tyriss Gordon enrolled in Medicare?
Yes. Tyriss 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.
Is Tyriss Gordon affiliated with any hospitals?
According to CMS data, Tyriss Gordon is affiliated with Novant Health Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Tyriss Gordon was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
