DR. PAMELA GORDON (MBCHB) – Hospice and Palliative Medicine (Internal Medicine) Physician, NPI 1811135056

DR. PAMELA GORDON (MBCHB) is a healthcare provider. based in Marietta, Georgia. specializing in HOSPICE/PALLIATIVE CARE, INTERNAL MEDICINE. They hold the professional credentials MBCHB. They hold a License No. 4301091862 (MI). The NPI Number for DR. PAMELA GORDON (MBCHB) is 1811135056

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAMELA GORDON (MBCHB)
NPI
1811135056
Phone
(770) 793-7899
Address
677 Church St NE
Enumeration Date
27 January 2009
Last Update Date
4 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704248222
Graduation Year
2004 (22 years ago)
PAC ID
2567631328
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20130912000488
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
pgordon40651@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

149 HOSPICE/PALLIATIVE CARE in GA

Provider Addresses for DR. PAMELA GORDON (MBCHB)

  • 677 Church St NE

    310 Building

    Marietta, GA 300601101

    Phone: (770) 793-7899

    Type: Location

  • 4040 HOSPITAL WEST DR

    AUSTELL, GA 30106

    Phone: (770) 732-6798

    Fax: (770) 732-6732

    Type: Location

  • Wellstar Health System, 805, Sandy Plains Road Northeast, Marietta, Cobb County, Georgia, 30066, United States

    MEDICAL STAFF SERVICES

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

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 $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Medtronic, Inc. ($75).

Total Amount

$128

General + Research + Ownership

Payments

3

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2013-09-12

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
I20130912000488IHospice/Palliative CareGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes16792$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11676$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8584$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1918$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PAMELA GORDON (MBCHB)'s NPI?
Yes. DR. PAMELA GORDON (MBCHB) is listed with NPI 1811135056 in the public NPI dataset.
Is DR. PAMELA GORDON (MBCHB) still practicing?
DR. PAMELA GORDON (MBCHB) is currently listed as active in the public NPI registry.
What healthcare role does DR. PAMELA GORDON (MBCHB) hold?
Scheduling teams often label DR. PAMELA GORDON (MBCHB) under Hospice and Palliative Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PAMELA GORDON (MBCHB)?
DR. PAMELA GORDON (MBCHB)'s geographic hint is Marietta, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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