PRECISION SPINE CARE
NPI 1982717955
Neurological Surgery in Tyler, TX

Active since August 16, 2006CLIA 45D1070996 · Accreditation
2737 S BROADWAY AVE STE 200, TYLER, TX 75701(903) 592-6000(903) 595-1592 Get Directions Write a Review

NPPES record last updated: March 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Precision Spine Care NPPES

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

PRECISION SPINE CARE (NPI 1982717955) is a healthcare organization registered as a neurological surgery in Tyler, Texas and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through April 17, 2028 and lists Charles R Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1982717955
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameCHARLES R GORDON MD PA
Location Address2737 S BROADWAY AVE STE 200Tyler, TX 75701-5445
Mailing AddressPo Box 6605Tyler, TX 75711-6605 · (903) 592-6000 · Fax (903) 595-1592
Fax(903) 595-1592
Organization SubpartNo
Authorized OfficialCharles R GordonPresident · (903) 592-6000
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 10, 2020
NPPES CertifiedMarch 10, 2020
NPI 1982717955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2737 S BROADWAY AVE STE 200, Tyler, TX 75701

Other Names 1

Doing Business AsPrecision Spine Care

Other Identifiers 2

Other0023KVBlue Cross Blue Shield
Medicaid163108701TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D1070996

Precision Spine Care · Tyler, TX
Active · expires Apr 17, 2028
CLIA Number45D1070996
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorDr. Shaohan Zhao
Laboratory Phone(903) 531-0555
Laboratory LocationPrecision Spine Care2737 S Broadway, Tyler, TX 75701
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Charles R Gordon MD PA's NPI number?

The NPI number for Charles R Gordon MD PA is 1982717955. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Precision Spine Care.

Where is Charles R Gordon MD PA located?

Charles R Gordon MD PA is located at 2737 S Broadway Ave Ste 200, Tyler, TX 75701. The listed phone number is (903) 592-6000.

What is Charles R Gordon MD PA's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Does Charles R Gordon MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D1070996) is associated with this NPI, valid through April 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charles R Gordon MD PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Charles R Gordon MD PA 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 Charles R Gordon MD PA was last updated on March 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.