Bridget Nicole Green Gordy, FNP, RN - Medicare Nurse Practitioner in Carrollton, GA

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Bridget Nicole Green Gordy, FNP, RN is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Georgia. Her current practice location is 802 Dixie St, Carrollton, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 836-9445.

Bridget Nicole Green Gordy is licensed to practice in Georgia (license number RN231607) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265755110.

Contact Information

Bridget Nicole Green Gordy, FNP, RN
802 Dixie St,
Carrollton, GA 30117-4416
(770) 836-9445
(770) 836-9353

Map and Direction




Provider's Profile

Full NameBridget Nicole Green Gordy
GenderFemale
SpecialityNurse Practitioner - Family
Location802 Dixie St, Carrollton, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265755110
  • Provider Enumeration Date: 03/07/2010
  • Last Update Date: 04/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2163607672
  • Enrollment ID: I20131115001189

Medical Identifiers

Medical identifiers for Bridget Nicole Green Gordy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265755110NPI-NPPES
1517993MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN231607 (Georgia)Primary

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. Bridget Nicole Green Gordy allows following entities to bill medicare on her behalf.
Entity NameTmc Immediate Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386708097
PECOS PAC ID: 9133105976
Enrollment ID: O20040624000840
Entity NameTanner Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396979787
PECOS PAC ID: 2769536143
Enrollment ID: O20090819000657

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. Bridget Nicole Green Gordy 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 AddressPractice Location Address
Bridget Nicole Green Gordy, FNP, RN
119 Ambulance Dr, 202,
Carrollton, GA 30117-3857

Ph: (770) 838-8710		Bridget Nicole Green Gordy, FNP, RN
802 Dixie St,
Carrollton, GA 30117-4416

Ph: (770) 836-9445

Reviews and Comments


Nurse Practitioner Nurses in Carrollton, GA

Sheila Reece Walls,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4248 Mount Zion Rd, Carrollton, GA 30117
Phone: 770-836-0103    Fax: 770-834-8828
Latoya Pulliam Bexley, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 410 Dixie St, Carrollton, GA 30117
Phone: 678-796-0681    Fax: 770-836-8477
Emilia Grace Janney, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 527 Tanner St, Carrollton, GA 30117
Phone: 770-537-1234    Fax: 770-537-1237
Mr. Matthew Henderson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117
Phone: 770-834-0873    
Ronda S Phillips, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117
Phone: 770-838-8824    Fax: 770-838-8922
Amy Hicks,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 104 Rome St, Carrollton, GA 30117
Phone: 404-301-4042    
Stephanie Jones, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 706 Dixie St Ste 200, Carrollton, GA 30117
Phone: 770-214-2121    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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