ANTHONY ROY GORDON (DPM) – Foot Surgery Podiatrist, NPI 1386602464

ANTHONY ROY GORDON (DPM) is a healthcare provider. based in Statham, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 00827 (GA). The NPI Number for ANTHONY ROY GORDON (DPM) is 1386602464

Main info

Male
Sole Proprietor
32 Years Of Experience
Name
ANTHONY ROY GORDON (DPM)
NPI
1386602464
Phone
(706) 208-9977
Address
1110 CLUB ESTATES CT
Enumeration Date
1 May 2006
Last Update Date
24 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062089977
Graduation Year
1994 (32 years ago)
PAC ID
2365440575
Professional Enrollment ID
I20061127000108
Address ID
GA306053339AT230XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

432 PODIATRY in GA

Provider Addresses for ANTHONY ROY GORDON (DPM)

  • 1110 CLUB ESTATES CT

    STATHAM, GA 306662659

    Phone: (706) 208-9977

    Fax: (949) 955-7016

    Type: Mailing

  • 230 CEDAR POINTE DR

    ATHENS, GA 306053339

    Phone: (706) 208-9977

    Fax: (949) 955-7016

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-06-20 • Largest payer in this snapshot: ConvaTec Inc. ($29).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061127000108IPodiatryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails751316$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes570227$0
11730Simple separation of fingernail or toenail from nail bed, first nail251200$0
11732Simple separation of fingernail or toenail from nail bed, each additional nail219181$0
G0127Trimming of dystrophic nails, any number15388$0
View full utilization report →

Insurance plans in this area (ZIP 30666)

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Provider's Procedures

ANTHONY ROY GORDON (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA11720Removal of tissue from 1 to 5 finger or toe nails2214

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Frequently asked questions

What federal number belongs to ANTHONY ROY GORDON (DPM)?
The federal identifier for ANTHONY ROY GORDON (DPM) is NPI 1386602464.
Does this profile mean ANTHONY ROY GORDON (DPM) is currently active?
Yes — ANTHONY ROY GORDON (DPM) appears active in the national provider directory.
What field does ANTHONY ROY GORDON (DPM) work in?
You can think of ANTHONY ROY GORDON (DPM) as practicing within Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANTHONY ROY GORDON (DPM)?
The page summarizes Statham, Georgia for ANTHONY ROY GORDON (DPM); expand the address list for detail.
How can I contact ANTHONY ROY GORDON (DPM)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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