GORDON MEDICAL ARTS CLINIC – NPI #1114105665
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

GORDON MEDICAL ARTS CLINIC is a psychiatry & neurologist located in CLINTON, MS. NPPES has assigned the NPI number 1114105665 to GORDON MEDICAL ARTS CLINIC on February 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GORDON MEDICAL ARTS CLINIC” is a dba name, the actual legal business name for this organization is MAXIE GORDON MD & ASSOCIATES, PLLC. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was previously updated about 7 years ago on Aug 21, 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 GORDON MEDICAL ARTS CLINIC below.

NPI Profile for
MAXIE GORDON MD & ASSOCIATES, PLLC

NPI Number
1114105665
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MAXIE GORDON MD & ASSOCIATES, PLLC
Doing Business As (dba): GORDON MEDICAL ARTS CLINIC
Primary location
590 SPRINGRIDGE RD
CLINTON, MS 39056
Phone: (601) 488-8101 Fax: (662) 287-5678
1 Other location(s):
102E N CASS ST
CORINTH, MS 38834-0000
Phone: (662) 665-1545
Fax: (662) 287-5678
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TEANDRA WALTON
DIRECTOR OF BUSINESS OPERATIONS
Phone: (601) 488-8101
Updated
Identifiers

Identifiers for GORDON MEDICAL ARTS CLINIC

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
MEDICAIDMS08723392
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
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)
MS 9801288

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.