DR. BERTHA LYNN GORDON (NPI# 1508149600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508149600 |
| Entity Type | Individual |
| Full Name | DR. BERTHA LYNN GORDON |
| Credential | M.D. |
| Practice Address |
139 Ralph Mcgill Blvd Ne Atlanta GA 30308-3339 |
| Practice Telephone | 4045899040 |
| Practice Fax Number | 4045891615 |
| Mailing Telephone | 4045899040 |
| Mailing Fax Number | 4045891615 |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2011-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
49018 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
139 RALPH MCGILL BLVD NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30308-3339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144315946 | Positive Impact, Inc. | Community/Behavioral Health | 139 Ralph Mcgill Blvd Ne, Suite #301, Atlanta, GA 30308-3339 | 2006-10-04 |
| 1619193422 | Natoya Nicole Mcmurray | Social Worker | 139 Ralph Mcgill Blvd Ne, Ste 301, Atlanta, GA 30308-3339 | 2007-04-18 |
| 1265656102 | Claudia Becerra | Counselor | 139 Ralph Mcgill Blvd Ne, Atlanta, GA 30308-3339 | 2007-04-12 |
| 1427171149 | Gwen Yvonne Davies | Psychologist | 139 Ralph Mcgill Blvd Ne, Atlanta, GA 30308-3339 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285165 | Grace Mckinnon Cutchin | Speech-Language Pathologist | 550 Peachtree St. Ne, 9th Floor, Suite 4400, Atlanta, GA 30308 | 2020-08-10 |
| 1063033942 | Life University | Chiropractor | 1 Baltimore P1. Nw, Suite 100, Atlanta, GA 30308 | 2020-05-01 |
| 1184254591 | Jordan Cohen | Specialist | 1075 Peachtree Rd, Suite 300, Atlanta, GA 30308 | 2020-01-24 |
| 1104463819 | Gary Sydney Koech IIi | Registered Nurse | Emory Midtown- Davis Fischer Bld 3rd Floor, Rm 3245a, 550 Peachtree Street, N.e., Atlanta, GA 30308 | 2019-12-02 |
| 1639728207 | Shannon Oliver Sullivan | Counselor | 1 Baltimore Pl Nw, Suite 360, Atlanta, GA 30308 | 2019-09-06 |
| 1477110187 | Ariel Alibey | Preventive Medicine | 550 Peachtree St Ne Bldg 4th, Atlanta, GA 30308 | 2019-05-29 |
| 1972075497 | Laura Mcrae | Nurse Practitioner | Emory Center for Critical Care, 550 Peachtree Street, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-21 |
| 1265902134 | Kyle Brooks Kraft | Nurse Practitioner | 550 Peachtree Road, Davis Fischer Building, Office 3245a, Atlanta, GA 30308 | 2018-12-04 |
| 1396211025 | Vita Judkins | Pharmacist | 240 Renaissance Pkway Ne, Unit 116, Atlanta, GA 30308 | 2018-10-20 |
| 1407345911 | Caitlin Cundiff | Anesthesiology | 550 Peachtree St Ne Ste 3245b, Atlanta, GA 30308 | 2018-05-09 |
| Find all providers in zip 30308 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264770 | Holistic Family Psychiatry | Psychiatry & Neurology | 1535 Mount Vernon Rd Ste 100-a, Atlanta, GA 30338-4149 | 2020-01-23 |
| 1356803985 | Magnolia Med Management, LLC | Psychiatry & Neurology | 2295 Parklake Dr Ne Ste 552, Atlanta, GA 30345-2844 | 2019-04-02 |
| 1114372455 | Jessica Chang | Psychiatry & Neurology | 12 Executive Park Dr Ne # 200, Atlanta, GA 30329-2206 | 2016-04-23 |
| 1275997843 | Carolina Ribeiro | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 142, Atlanta, GA 30329-2206 | 2016-04-11 |
| 1427412139 | Diana Woodall | Psychiatry & Neurology | 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318-2695 | 2016-04-08 |
| 1962899500 | Amitha Dhingra | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 331, Atlanta, GA 30329-2206 | 2015-04-21 |
| 1104232008 | John Cook Bartlett | Psychiatry & Neurology | 187 12th St Ne, Atlanta, GA 30309-4055 | 2014-07-11 |
| 1902229701 | Lawrence David Baker | Psychiatry & Neurology | 2950 Mount Wilkinson Pkwy Se Unit 613, Atlanta, GA 30339-3655 | 2014-01-29 |
| 1326482241 | Milena Hirata Armani | Psychiatry & Neurology | 12 Executive Park Dr Ne Ste 200, Atlanta, GA 30329 | 2013-04-22 |
| 1285976928 | R Matthew Kamins | Psychiatry & Neurology | 2480 Briarcliff Rd Ne, Suite 6-233, Atlanta, GA 30329-3034 | 2013-03-20 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.