NPI age
11 years
Enumerated 2015-04-16
● Active
Type 1 · Individual
Brenda Gordon
Gordon is 1 of 8 specialist providers in Tucker and 1 of 250 in Georgia.
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-04Enumerated in NPPES
2015
2026
Where they practice
Practice location
3983 Lavista Rd, Suite 164
Tucker, GA 300845153
Mailing address
2109 Rutherford Glen Cir
Atlanta, GA 303403878
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.