Courtney Rae Gordon, NP
NPI 1891312948ActiveIndividual· Nurse Practitioner· Ridgeland, MS
Nurse Practitioner (NP) with Southern Medical Consultants LLC, practicing in Ridgeland, Mississippi. 77 Medicare patients in 2024, $94,831 paid; nearly all of their 1,679 Part D prescriptions were generic (93%). Lists Mississippi Baptist Medical Center as a hospital affiliation.
Overview
| NPI | 1891312948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Jul 5, 2020 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903982 | 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 Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 77 |
|---|---|
| Services billed | 998 across 10 procedure codes |
| Paid by Medicare | $94,831 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,679 · 1,715 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $60,227 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Southern Medical Consultants LLCBentonia, MS · 19 clinicians
Hospital affiliation
- Mississippi Baptist Medical CenterJackson, MS
Other facilities
- Centerwell Home HealthHome health agency · Flowood, MS
- Sta Home Health Agency of Jackson, Inc. DBA Accentcare Home Health of JacksonHome health agency · Clinton, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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