MRS. SHELBY LYNN GORDON (NP-C) – Primary Care Nurse Practitioner, NPI 1073744280
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. SHELBY LYNN GORDON (NP-C)
PO BOX 830525
DEPT# OWC 24
BIRMINGHAM, AL 352830525
Phone:
Type: Mailing
5510 PROMENADE POINT PKWY NW # 160
MADISON, AL 357586702
Phone: (256) 289-8470
Fax: (256) 993-3096
Type: Location
6308 Adams Park Dr
Columbus, GA 319093528
Phone: (229) 942-8289
Type: Location
6308, Adams Park Drive, Weems Valley, Columbus, Muscogee County, Georgia, 31909, United States
COLUMBUS, GA 319093528
Phone: (229) 942-8289
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110713000498 | I | Nurse Practitioner | GA | TBD |
| I20171102001427 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 200 | 43 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 137 | 65 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 136 | 34 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 93 | 92 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 84 | $0 |
Insurance plans in this area (ZIP 35283)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine | GA | |
| Physician Assistant | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Physician Assistant | AL | |
| Physician Assistant | AL | |
| Internal Medicine, Sports Medicine | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL | |
| Sports Medicine, Family Practice | SC |
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