Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne Marie Lackey Gordon, PA

Individual provider Physician Assistant · NPI 1003471103

Anne Marie Lackey Gordon, PA is a Physician Assistant in Shelby, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

709 N Dekalb St
Shelby, NC 28150-3911
Phone: (980) 487-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2202 Carolina Pl, Kings Mountain, NC 28086-8807 — (980) 487-2950

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12193 (NC)

Record details

NPI number1003471103
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 3, 2019
Last updated in NPPESJuly 15, 2024
Certification dateAugust 2, 2022

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