LANDIS COFFEE GORDON (PA-C) – Physician Assistant, NPI 1457329641
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
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Provider Addresses for LANDIS COFFEE GORDON (PA-C)
Valdosta Orthopedic Associates, 3527, North Valdosta Road, Northwood, Valdosta, Lowndes County, Georgia, 31602, United States
Valdosta, GA 31602
Phone: (229) 247-2290
Type: Location
907 18TH ST E STE 400
TIFTON, GA 317943684
Phone: (229) 353-3422
Fax: (229) 353-6060
Type: Mailing
901 18TH ST E
TIFTON, GA 317943648
Phone: (229) 382-7120
Type: Location
901 18th St E
Tifton, GA 317943648
Phone: (229) 382-7120
Type: Location
PO BOX 2650
TIFTON, GA 317932650
Phone: (229) 353-3422
Fax: (229) 391-4059
Type: Mailing
2227 US HIGHWAY 41 N
TIFTON, GA 317942749
Phone: (229) 386-5222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Sanara MedTech Inc. ($46).
Total Amount
$100
General + Research + Ownership
Payments
4
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sanara MedTech Inc. | $46 |
| Pacira Pharmaceuticals Incorporated | $30 |
| Abbott Laboratories | $24 |
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: 2009-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090129000361 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 253 | 73 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 105 | 81 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 91 | 72 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 70 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 39 | $0 |
Insurance plans in this area (ZIP 31602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Family Practice, Emergency Medicine | GA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | MD | |
| - | GA |
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