Maxie Gordon MD & Associates, PLLC
NPI 1114105665ActiveOrganization· Psychiatry & Neurology, Psychiatry· Clinton, MS
Psychiatry & Neurology, Psychiatry in Clinton, Mississippi, registered in NPPES in February 2008. The authorized official on file is Teandra Walton, Director Of Business Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114105665 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2008 |
| Last updated in NPPES | Aug 21, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 9801288 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
Other Psychiatry & Neurology, Psychiatry providers in Clinton
- 1427018613
- 1821343898
All Psychiatry & Neurology, Psychiatry providers in Mississippi →