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MISS SHAQUANDA SHANTIVUS GORDON PMHNP-BC
NPI 1891475430
Nurse Practitioner - Psychiatric/Mental Health in Fairburn, GA

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
825 BELMAR PASS, FAIRBURN, GA 30213(229) 603-2601 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Shaquanda Shantivus Gordon Pmhnp-bc NPPES

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

MISS SHAQUANDA SHANTIVUS GORDON PMHNP-BC (NPI 1891475430) is an individual psychiatric/mental health provider in Fairburn, Georgia, licensed in Georgia (2023060174) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891475430
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS SHAQUANDA SHANTIVUS GORDONCredential: PMHNP-BC
Location Address825 BELMAR PASSFairburn, GA 30213-4482
Mailing Address825 Belmar PassFairburn, GA 30213-4482 · (229) 603-2601
Phone(229) 603-2601
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
✔ NPI 1891475430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 2023060174
825 BELMAR PASS, Fairburn, GA 30213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 and accepts Medicare assignment

Miss Shaquanda Shantivus Gordon 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.

PECOS PAC ID9638532096
PECOS Enrollment IDI20230831004487
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30213 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Shaquanda Gordon's NPI number?

The NPI number for Shaquanda Gordon is 1891475430. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Shaquanda Gordon located?

Shaquanda Gordon practices at 825 Belmar Pass, Fairburn, GA 30213. The listed phone number is (229) 603-2601.

What is Shaquanda Gordon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shaquanda Gordon enrolled in Medicare?

Yes. Shaquanda 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.

What insurance does Shaquanda Gordon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Shaquanda 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 Shaquanda Gordon was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.