DR. RICHARD ALAN GORDON M.D.
NPI 1942366174
Specialist in Conyers, GA

Q: What is Richard Gordon's NPI number?

The NPI number for Richard Gordon is 1942366174. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Q: What is Richard Gordon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 December 30, 2006

1145 WINTERBERRY WAY SE, CONYERS, GA 30013(770) 483-1501(770) 483-1894 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Richard Alan Gordon M.d. NPPES

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

DR. RICHARD ALAN GORDON M.D. (NPI 1942366174) is an individual specialist in Conyers, Georgia, licensed in Georgia (020436) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1942366174

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. RICHARD ALAN GORDONCredential: M.D.

Location Address1145 WINTERBERRY WAY SEConyers, GA 30013-2446

Mailing Address1145 Winterberry Way SeConyers, GA 30013-2446 · (770) 483-1501 · Fax (770) 483-1894

Phone(770) 483-1501

Fax(770) 483-1894

Sole ProprietorYes

Enumeration DateDecember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1942366174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in GA · 020436

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1145 WINTERBERRY WAY SE, Conyers, GA 30013

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Other Identifiers 3

Medicare ID-Type Unspecified30BDBTKGA

Medicaid00198833AGA

Medicare UPINE62593GA

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 Richard Gordon's NPI number?

The NPI number for Richard Gordon is 1942366174. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Richard Gordon located?

Richard Gordon practices at 1145 Winterberry Way SE, Conyers, GA 30013. The listed phone number is (770) 483-1501.

What is Richard Gordon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Richard Gordon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.