DR. JACQUES LENOEL GORDON DMD
NPI 1881729820
Dentist - Oral and Maxillofacial Surgery in Atlanta, GA

Q: What is Jacques Gordon's NPI number?

The NPI number for Jacques Gordon is 1881729820. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Q: What is Jacques Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Jacques Gordon was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 22, 2007PECOS Enrolled

3885 PRINCETON LAKES WAY SW, STE 408, ATLANTA, GA 30331(404) 629-6610(404) 629-6630 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jacques Lenoel Gordon Dmd NPPES

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

DR. JACQUES LENOEL GORDON DMD (NPI 1881729820) is an individual oral and maxillofacial surgery provider in Atlanta, Georgia, licensed in Georgia (DN013463) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881729820

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. JACQUES LENOEL GORDONCredential: DMD

Location Address3885 PRINCETON LAKES WAY SW, STE 408Atlanta, GA 30331-5589

Mailing Address3885 Princeton Lakes Way Sw, Ste 408Atlanta, GA 30331-5589 · (404) 629-6610 · Fax (404) 629-6630

Phone(404) 629-6610

Fax(404) 629-6630

Sole ProprietorNo

Enumeration DateFebruary 22, 2007

Last NPPES UpdateApril 29, 2010

✔ NPI 1881729820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in GA · DN013463

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Jacques Lenoel Gordon Dmd 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 30331 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

SOUTHWEST MAXILLOFACIAL SURGERY & IMPLANT CENTER

Dentist (Oral and Maxillofacial Surgery)

3885 PRINCETON LAKES WAY SW, 406
ATLANTA, GA 30331

Fulton County (404) 629-6610

SOUTHCARE PHYSICIANS GROUP OBSTETRICS & GYNECOLOGY

Obstetrics & Gynecology

3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331

Fulton County (404) 466-1006

WELLSTAR MEDICAL GROUP, LLC

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
ATLANTA, GA 30331

Fulton County (404) 344-0059

DR. CHARIS JEWELLE TRENCH-SIMMONS M.D.

Obstetrics & Gynecology

3885 PRINCETON LAKES WAY SW, SUITE 412
ATLANTA, GA 30331

Fulton County (678) 365-2322

PICKENS ANDREW PATTERSON III MD

Pain Medicine (Interventional Pain Medicine)

3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331

Fulton County (678) 733-9666

THE INTERVENTIONAL SPINE AND PAIN MANAGEMENT CENTER PC

Pain Medicine (Interventional Pain Medicine)

3885 PRINCETON LAKES WAY SW, SUITE 225
ATLANTA, GA 30331

Fulton County (770) 929-9033

CAMP CREEK LLC

Specialist

3885 PRINCETON LAKES WAY SW, STE 400
ATLANTA, GA 30331

Fulton County (404) 344-6575

SOUTHERN CRESCENT PHYSICIANS GROUP, INC

Psychiatry & Neurology (Neurology)

3885 PRINCETON LAKES WAY SW
ATLANTA, GA 30331

Fulton County (770) 996-3190

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 Jacques Gordon's NPI number?

The NPI number for Jacques Gordon is 1881729820. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Jacques Gordon located?

Jacques Gordon practices at 3885 Princeton Lakes Way SW Ste 408, Atlanta, GA 30331. The listed phone number is (404) 629-6610.

What is Jacques Gordon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Jacques Gordon enrolled in Medicare?

Yes. Jacques Gordon is registered in the Medicare PECOS enrollment system.

What insurance does Jacques Gordon accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 14 other insurers list Jacques 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 Jacques Gordon was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.