STEPHANIE H GORDON (M.D.) – Gynecology Physician, NPI 1407849722

STEPHANIE H GORDON (M.D.) is a healthcare provider. based in Conyers, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 049382 (GA). The NPI Number for STEPHANIE H GORDON (M.D.) is 1407849722

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE H GORDON (M.D.)
NPI
1407849722
Phone
(678) 413-4644
Address
2750 OWENS RD SW
Enumeration Date
23 August 2005
Deactivation Date
27 March 2006
Reactivation Date
7 April 2006
Last Update Date
6 August 2012

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
6507898327
Group Practice PAC ID
9931196516
Professional Enrollment ID
I20080218000046
Address ID
GA300943991CO2750XRDXX401
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

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for STEPHANIE H GORDON (M.D.)

  • 2750 OWENS RD SW

    SUITE A

    CONYERS, GA 300943991

    Phone: (678) 413-4644

    Fax: (678) 413-4624

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Astellas Pharma US Inc ($276).

Total Amount

$992

General + Research + Ownership

Payments

27

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2008-02-18

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
I20080218000046IObstetrics/GynecologyGATBD

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
J0585Injection, onabotulinumtoxina, 1 unit2,80019$0
99214Established patient office or other outpatient visit, 30-39 minutes274216$0
81003Automated urinalysis test266190$0
99213Established patient office or other outpatient visit, 20-29 minutes252183$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination143143$0
View full utilization report →

Insurance plans in this area (ZIP 30094)

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Provider's Procedures

STEPHANIE H GORDON (M.D.) performs procedures in OBSTETRICS/GYNECOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OBSTETRICS/GYNECOLOGYGA76830Ultrasound pelvis through vagina6554

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931196516View full group profile
NameSpecialtyState
Physician AssistantGA
Gynecological OncologyGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE H GORDON (M.D.)'s NPI?
Yes. STEPHANIE H GORDON (M.D.) is listed with NPI 1407849722 in the public NPI dataset.
Is STEPHANIE H GORDON (M.D.) listed as active for patients and plans?
The listing shows STEPHANIE H GORDON (M.D.) as active in the NPI system.
What is STEPHANIE H GORDON (M.D.) best known for clinically?
Directory data describes STEPHANIE H GORDON (M.D.) with Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does STEPHANIE H GORDON (M.D.) list a practice location?
Patients near Conyers, Georgia may find STEPHANIE H GORDON (M.D.) in results; validate coverage separately.
Why does STEPHANIE H GORDON (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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