DR. ELIZABETH GORDON (M.D.) – Family Medicine Physician, NPI 1548445356
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ELIZABETH GORDON (M.D.)
601 BLUEBIRD BLVD
FORT VALLEY, GA 310305082
Phone: (478) 825-8691
Type: Location
2107, North Decatur Road, North Decatur, DeKalb County, Georgia, 30033, United States
#434
DECATUR, GA 300335305
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $2,365.
Total Amount is formed as General ($2,365) + Research ($0) + Ownership ($0) = $2,365.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: Teladoc Health, Inc. ($2,350).
Total Amount
$2,365
General + Research + Ownership
Payments
6
Total payment records
General Amount
$2,365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teladoc Health, Inc. | $2,350 |
| OraPharma, a division of Bausch Health US, LLC | $15 |
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: 2009-07-08
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 |
|---|---|---|---|---|
| I20090708000424 | I | Family 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 31030)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine, Emergency Medicine | MI | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | AL | |
| - | GA |
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