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

Courtney Rae Gordon, NP

Individual provider Nurse Practitioner · NPI 1891312948

Courtney Rae Gordon, NP is a Nurse Practitioner in Ridgeland, Mississippi. Qualified in 2020, 6 years ago. Practices with Southern Medical Consultants LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

410 Orchard Park
Ridgeland, MS 39157-5135
Phone: (601) 957-0727
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 Dyess Rd, Ridgeland, MS 39157-4410 — (601) 767-1700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 903982 (MS)

Record details

NPI number1891312948
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 5, 2020
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Medical Consultants Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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