CHARLES A. GORDON MD – NPI #1144279548
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CHARLES GORDON is a physician located in VIDALIA, GA. NPPES has assigned the NPI number 1144279548 to CHARLES GORDON on May 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Oct 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES GORDON below.

NPI Profile for
CHARLES A. GORDON

NPI Number
1144279548
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES A. GORDON
Credentials
MD
Primary location
1 MEADOWS PKWY
VIDALIA, GA 30474-8759
Phone: (912) 535-5555 Fax: (912) 535-8930
Mailing address
PO BOX 663
VIDALIA, GA 30475-0663
Phone: (912) 535-5555 Fax: (912) 535-8930
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHARLES GORDON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCAPITAL BLUE CROSSPA01056706
OTHERHIGHMARK PA BLUE SHIELDPA066957
OTHERPALMETTO GBA MEDICAREPA110097244
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
GA 062039
208M00000X
- Hospitalist
GA 062039

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.