P Praxis·MD
● Active Type 2 · Organization

Michael C. Gordon, Md, Llc

Psychiatry & Neurology·Smyrna, GA· NPI 1598957011 · Enumerated 2007 · 18 years on NPI
Michael C. Gordon, Md, Llc is 1 of 24 psychiatry & neurology organizations in Georgia.
NPI age
18 years
Enumerated 2007-08-17
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Gordon
Owner
Last NPPES update
2007-08-17
Source: monthly bulk 2026-05

How this organization compares

Across 24 active psychiatry & neurology providers in Georgia.

NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4015 S Cobb Dr Se, Suite 220
Smyrna, GA 300806303
📞 7708010980fax 7708019039
Mailing address
4015 S Cobb Dr Se, Suite 220
Smyrna, GA 300806303
📞 7708010980fax 7708019039

Authorized official

Michael C Gordon, MD
Owner
📞 7708010980

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Psychiatry & Neurology Primary
    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
    GA license #026534 taxonomy 2084A0401X

Identifiers

TypeValueNotes
01 (GA) 461679 BLUE CROSS BLUE SHIELD

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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