DR. KALI L GORDON (M.D., M.S.) – Family Medicine Physician, NPI 1508106600
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. KALI L GORDON (M.D., M.S.)
6380 BELLS FERRY RD STE 107
ACWORTH, GA 301025435
Phone: (404) 989-7384
Type: Location
412 E NORTH ST UNIT A
ALTURAS, CA 961014072
Phone: (215) 260-8867
Type: Mailing
PIT RIVER HEALTH SERVICE
150 BUREAU OF INDIAN AFFAIRS #76A
ALTURAS, CA 96101
Phone: (530) 233-3223
Fax: (530) 233-3296
Type: Location
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 302742615
Phone: (770) 897-7033
Fax: (770) 996-3941
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: 2018-08-03
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 |
|---|---|---|---|---|
| I20180803000622 | I | General Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | GA |
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