DR. LLOYD JAMES GORDON III (NPI# 1730289802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730289802 |
| Entity Type | Individual |
| Full Name | DR. LLOYD JAMES GORDON III |
| Credential | MD |
| Practice Address |
3949 Highway 43 N Brandon MS 39047-7240 |
| Mailing Address |
105 Colony Crown Brandon MS 39047-8202 |
| Practice Telephone | 6018292500 |
| Mailing Telephone | 6018293158 |
| Mailing Fax Number | 6018299389 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2016-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
7875 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073877 | Lloyd Malcom Gordon | Dentist | 2329 Devine St, Columbia, SC 29205 | 2007-02-26 |
| 1205915972 | Lloyd B. Gordon | Radiology | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-03 |
| Street Address |
3949 HIGHWAY 43 N |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-7240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409762 | Defining Wellness Centers Inc. | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2020-02-18 |
| 1306323720 | Pb Mississippi Health Services, LLC | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2018-07-27 |
| 1508386582 | Elements Medical Group of Mississippi Inc | Psychiatry & Neurology | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2017-06-21 |
| 1699175042 | Southeast Behavioral Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2014-09-03 |
| 1235270885 | Copac, Inc. | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2007-02-08 |
| 1376609768 | Susan Henry Taylor | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-12-29 |
| 1073679817 | Copac Addiction Services | Substance Abuse Rehabilitation Facility | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-12-28 |
| 1801997127 | Karen Holloway | Psychiatry & Neurology | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
| 1306840871 | William R. Fellows, Md | Internal Medicine | 180 Debuys Rd, Ste 130, Biloxi, MS 39531-4402 | 2005-06-11 |
| 1104117688 | Gerald B Broussard Jr. | Internal Medicine | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2011-05-02 |
| 1699897066 | Carl Alvin Faulks | Internal Medicine | 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 | 2007-04-04 |
| 1396814794 | James J Kramer | Internal Medicine | 405 Fontaine Pl, Suite 101, Ridgeland, MS 39157-5228 | 2006-11-07 |
Please comment or provide details below to improve the information on DR. LLOYD JAMES GORDON III.
| 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.