DR. AKIL JAHI GORDON (NPI# 1790076180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790076180 |
| Entity Type | Individual |
| Full Name | DR. AKIL JAHI GORDON |
| Credential | MD |
| Practice Address |
55 Whitcher St Ne Ste 130 Marietta GA 30060 |
| Mailing Address |
805 Sandy Plains Road Medical Staff Services Marietta GA 30066-6340 |
| Practice Telephone | 7704280462 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 67022 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 Peachtree St Ne, Suite 1430, Atlanta, GA 303082208 | 4042211095 |
| Street Address |
55 WHITCHER ST NE STE 130 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457559759 | William Walker Train | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2007-07-07 |
| 1205355633 | Lisa Price Ulbricht | Nurse Practitioner | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2017-09-18 |
| 1174051387 | Anthony Robert Busch | Physician Assistant | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2017-06-01 |
| 1649711581 | Celine L Sledge | Physician Assistant | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2017-03-11 |
| 1033500541 | Shey Howard | Physician Assistant | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2015-02-05 |
| 1003235383 | Wellstar Surgical Associates of Marietta | General Acute Care Hospital | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2014-04-15 |
| 1205251816 | Cassandra Mueller | Physician Assistant | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2014-02-19 |
| 1447698220 | Kyle Matthew Thomas | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2013-06-13 |
| 1215248604 | James G Boron | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060 | 2010-06-30 |
| 1356669006 | Heather West French | Nurse Practitioner | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2010-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124653456 | Oasis Surgical Associates LLC | Surgery | 800 Kennesaw Ave Nw Ste 130, Marietta, GA 30060-1052 | 2020-03-06 |
| 1215453055 | Hossein Ramadan | Surgery | 3308 Keenland Rd, Marietta, GA 30062-7035 | 2017-08-14 |
| 1366978991 | Olympian Surgical Assistants | Surgery | 98 Whitlock Sq Sw, Marietta, GA 30064-3260 | 2017-05-02 |
| 1467611152 | Charles Wike | Surgery | 219 N Forest Ave Ne, Marietta, GA 30060-1623 | 2008-06-06 |
| 1164606042 | Justin Michael Watson | Surgery | 55 Whitcher Street 250, Marietta, GA 30060 | 2007-12-27 |
| 1457559759 | William Walker Train | Surgery | 55 Whitcher St Ne Ste 130, Marietta, GA 30060-1156 | 2007-07-07 |
| 1639209307 | Clemenceau De Jesus Lopes | Surgery | 1360 Powers Ferry Rd Se, Suite C - 150 - C - 300, Marietta, GA 30067-5490 | 2007-03-06 |
| 1548300015 | Michael J Oreilly | Surgery | 800 Canton Rd Ne, Marietta, GA 30060-7260 | 2007-02-07 |
| 1316083611 | Wellstar Comprehensive Bariatric Services LLC | Surgery | 780 Canton Rd Ne Ste 320, Marietta, GA 30060-7289 | 2007-01-30 |
| 1063570521 | Robert A. Underwood | Surgery | 598 Nancy St Nw Ste 250, Marietta, GA 30060-1377 | 2006-12-05 |
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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.