RONDINE O GORDON (NPI# 1710234646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710234646 |
| Entity Type | Individual |
| Full Name | RONDINE O GORDON |
| Credential | RN |
| Practice Address |
5503 Mountain View Pass Stone Mountain GA 30087-6020 |
| Practice Telephone | 7708797382 |
| Mailing Telephone | 7708797382 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | RN172806 | GA | Nursing Service Related Providers |
| Street Address |
5503 MOUNTAIN VIEW PASS |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-6020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083263545 | Temple Personal Care Home LLC | Nursing Home Administrator | 838 Shadybrook Dr Ne, Marietta, GA 30066-6215 | 2019-09-08 |
| 1992353072 | Oliver Eberechukwu Nosiri | Nursing Home Administrator | 2677 Cimmaron Trl, Lithia Springs, GA 30122-2796 | 2019-08-31 |
| 1548817893 | Curtis Jefferson | Nursing Home Administrator | 718 Walden Run Pl, Mcdonough, GA 30253-7008 | 2019-08-21 |
| 1407236045 | Patrice M Jackson-weathers | Nursing Home Administrator | 325 Willow Ridge Way, Avondale Estates, GA 30002-1284 | 2015-06-08 |
| 1174938864 | Rita Gceo Douglas | Nursing Home Administrator | 313 New Echota Way, Woodstock, GA 30189-7001 | 2014-06-22 |
| 1780953018 | Dade Community Living Arrangement (cla) | Nursing Home Administrator | 1289 Macedonia Church Rd., Oxford, GA 30054-3651 | 2011-12-15 |
| 1720621592 | Floyd Billups | Nursing Home Administrator | 5637 La Fleur Trl, Lithonia, GA 30038-2846 | 2019-10-23 |
| 1104255421 | Sandy Williams | Nursing Home Administrator | 833 Arlington Dr, Columbus, GA 31907-7302 | 2013-11-07 |
| 1861423428 | Olubusola Ogundipe | Nursing Home Administrator | 7823 Spivey Station Blvd, Suite 210, Jonesboro, GA 30236-2886 | 2006-07-05 |
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.