KATISHA GORDON (NPI# 1619109840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619109840 |
| Entity Type | Individual |
| Full Name | KATISHA GORDON |
| Credential | MS |
| Practice Address |
200 Mlk St Macon MS 39341 |
| Mailing Address |
302 N Jackson St Starkville MS 39759-2504 |
| Practice Telephone | 6627265042 |
| Practice Fax Number | 6627265009 |
| Mailing Telephone | 6623239261 |
| Mailing Fax Number | 6623249647 |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
200 MLK ST |
| City | MACON |
| State | MS |
| Zip Code | 39341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
| 1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
| 1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
| 1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
| 1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
| 1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
| 1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
| 1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
| 1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
| 1679507024 | Naim U. Rahman | Internal Medicine | 606 North Jefferson Street, Macon, MS 39341 | 2006-07-10 |
| Find all providers in zip 39341 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518445014 | Enhance Behavioral Health, LLC | Counselor | 3083 Vineville Ave, Macon, GA 31204-2460 | 2018-08-06 |
| 1588153621 | Efcel Aaron Velez | Counselor | 544 Mulberry St Ste 305, Macon, GA 31201-8284 | 2018-05-03 |
| 1275021396 | Tanisha Andrea Primas | Counselor | 560 Oglethorpe St, Macon, GA 31201-6842 | 2018-04-24 |
| 1265946974 | Ervin N/a Briones | Counselor | 1552 Long Acre Dr, Macon, GA 31204-4924 | 2017-11-17 |
| 1760928386 | Amelia Barton | Counselor | 139 Kimmeridge Dr, Macon, GA 31220-2681 | 2017-01-07 |
| 1528519741 | Yanci Lavender | Counselor | 43 Mlk Dr, Macon, MS 39341-2734 | 2016-10-24 |
| 1639543259 | Imani Shaw | Counselor | 3985 Arkwright Rd Ste 106, Macon, GA 31210-1775 | 2015-11-19 |
| 1548669252 | Diane Hairston | Counselor | 43 W Martin Luther King Dr, Macon, MS 39741 | 2014-08-19 |
| 1487084323 | Tamara Epps | Counselor | 2313 Lowe St, Macon, GA 31206-3145 | 2013-11-13 |
| 1679849921 | Rasheedah Atiyah Bankhead | Counselor | 43 Dr Martin Luther King Jr Dr, Macon, MS 39341-2734 | 2012-03-30 |
| Find all providers in MACON | ||||
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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.