| Kimberly Renee Gordon, PA-C | |
|
9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 | |
| (704) 316-1650 | |
| (704) 316-1651 |
| Full Name | Kimberly Renee Gordon |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 9929 Rea Rd Ste 201, Waxhaw, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346562147 | NPI | - | NPPES |
| 018579700 | Medicaid | FL | |
| Y0S1D | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9105103 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 0010-07737 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Medical Group Inc | 1153234893 | 2023 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Renee Gordon, PA-C Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Kimberly Renee Gordon, PA-C 9929 Rea Rd Ste 201, Waxhaw, NC 28173-6439 Ph: (704) 316-1650 |
Nikki Torres, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1029 Brunswick Way, Waxhaw, NC 28173 Phone: 704-840-9793 | |
Derek Whalen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1621 Providence Rd S Ste 370, Waxhaw, NC 28173 Phone: 704-520-7089 Fax: 704-520-7099 | |
Mr. Andrew Kirby Gustavson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3614 Providence Rd S Ste 200, Waxhaw, NC 28173 Phone: 704-384-8640 Fax: 704-384-8650 | |
Jennifer Lynn Gonzales, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2700 S Providence Rd, Ste 300, Waxhaw, NC 28173 Phone: 704-243-2254 | |
Mary Ashley, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8523 Chilcomb Ct, Waxhaw, NC 28173 Phone: 980-309-9689 | |
Arianna Moazzami, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9018 New Town Rd, Waxhaw, NC 28173 Phone: 704-572-0516 |