Jefferson Taylor Gordon, MD in Carrollton, GA

Jefferson Taylor Gordon, MD is a medicare enrolled "Family Medicine" physician in Carrollton, Georgia. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Privia Medical Group Of Georgia Llc, Select Rehabilitation Llc and his current practice location is 100 Professional Pl, Suite 202, Carrollton, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 832-6861.

Jefferson Taylor Gordon is licensed to practice in Georgia (license number 033338) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336167816.

Contact Information

	Jefferson Taylor Gordon, MD
	100 Professional Pl, Suite 202, Carrollton, GA 30117-3802
	(770) 832-6861
	(770) 832-9432

Map and Direction

Physician's Profile

Full Name	Jefferson Taylor Gordon
Gender	Male
Speciality	Family Practice
Experience	35 Years
Location	100 Professional Pl, Carrollton, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jefferson Taylor Gordon graduated from medical school in 1989

NPI Data:

NPI Number: 1336167816
Provider Enumeration Date: 07/17/2006
Last Update Date: 01/04/2012

Medicare PECOS Information:

PECOS PAC ID: 3274587399
Enrollment ID: I20081114000696

Medical Identifiers

Medical identifiers for Jefferson Taylor Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336167816	NPI	-	NPPES
000460996C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	033338 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Central Home Health Care, An Amedisys Company	Douglasville, GA	Home health agency
Tanner Home Health Services	Carrollton, GA	Home health agency
Hospice Care- A Part Of Tanner	Carrollton, GA	Hospice
Tanner Medical Center - Carrollton	Carrollton, GA	Hospital
Tanner Medical Center Villa Rica	Villa rica, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Privia Medical Group Of Georgia Llc	4284951542	332
Select Rehabilitation Llc	9032020490	202

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jefferson Taylor Gordon allows following entities to bill medicare on his behalf.

Entity Name	Privia Medical Group Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jefferson Taylor Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jefferson Taylor Gordon, MD 100 Professional Pl, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861	Jefferson Taylor Gordon, MD 100 Professional Pl, Suite 202, Carrollton, GA 30117-3802 Ph: (770) 832-6861

Reviews and Comments

Family Medicine Doctors in Carrollton, GA

Andrew Chanyang Rho, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153
Dr. Hermogenes Pagsisihan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Park, Suite 204, Carrollton, GA 30117 Phone: 770-834-3351 Fax: 770-830-1518
Erin Michelle Smith, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831
Kisha Lafleur, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832
Gregory Benjamin Floyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432

Jefferson Taylor Gordon, MD - Medicare Family Practice in Carrollton, GA