P Praxis·MD
● Active Type 1 · Individual

DR. Michael Cowl Gordon, MD

Family Medicine·Atlanta, GA· NPI 1184608077 · Enumerated 2005 · 20 years on NPI
Gordon is 1 of 3 family medicine providers in Atlanta and 1 of 25 in Georgia.
NPI age
20 years
Enumerated 2005-12-04
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-06-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 25 active family medicine providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
44% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
1800 Water Pl Se, Suite 100
Atlanta, GA 303392061
📞 7708010980fax 7708019039
Mailing address
1800 Water Pl Se, Suite 100
Atlanta, GA 303392061
📞 7708010980fax 7708019039

Specialties

  • Family Medicine Primary
    A family medicine physician who specializes in the diagnosis and treatment of addictions.
    GA license #026534 taxonomy 207QA0401X

Identifiers

TypeValueNotes
01 (GA) 461670 BLUE CROSS BLUE SHIELD
05 (GA) 000290463A

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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