Charles David Gordon, MD | |
6324 Fairview Rd Ste 400, Charlotte, NC 28210-4278 | |
(980) 302-8626 | |
(980) 302-8639 |
Full Name | Charles David Gordon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 39 Years |
Location | 6324 Fairview Rd Ste 400, Charlotte, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265525372 | NPI | - | NPPES |
630053 | Medicaid | AZ | |
5921444 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 45189 (Arizona) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 2012-01542 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Novant Health Matthews Medical Center | Matthews, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novant Medical Group Inc | 1153234893 | 2023 |
Matrix Rehabilitation-south Carolina, Inc. | 5799694568 | 32 |
Entity Name | Novant Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Entity Name | The Presbyterian Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053365817 PECOS PAC ID: 1153231907 Enrollment ID: O20040223001121 |
Mailing Address | Practice Location Address |
---|---|
Charles David Gordon, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-9437 | Charles David Gordon, MD 6324 Fairview Rd Ste 400, Charlotte, NC 28210-4278 Ph: (980) 302-8626 |
Ryan Alan Williamson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-9437 | |
Soong Hyun Lee, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Center Cmc Randolph, 501 Billingsley Road, Charlotte, NC 28211 Phone: 704-358-2700 Fax: 704-358-2716 | |
Dr. Richard David Jacobson, MD, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4228 Brookfield Dr, Charlotte, NC 28210 Phone: 615-345-5400 | |
Dr. T Hemanth Rao, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2607 E 7th St Ste 200, Charlotte, NC 28204 Phone: 704-449-6064 Fax: 704-731-0936 | |
Dr. Sumul Modi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5500 Executive Center Dr Ste 206, Charlotte, NC 28212 Phone: 984-777-9940 Fax: 877-794-5929 | |
Hristos Christopher Karanikas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 | |
Timothy Cooper King, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 501 Billingsley Rd, Ste B, Charlotte, NC 28211 Phone: 704-444-2400 |