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

Jason Gordon, MD

Individual provider Emergency Medicine Physician · NPI 1720245160

Jason Gordon, MD is an Emergency Medicine in Austell, Georgia. Qualified in 2005, 21 years ago. Practices with Sandy Creek Emergency Group, PC, a 44-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3950 Austell Rd
Austell, GA 30106-1121
Phone: (770) 732-3800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence PENDING (GA)

Record details

NPI number1720245160
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESMay 22, 2008
Mailing address5665 New Northside Dr Nw, Suite 320, Atlanta, GA 30328-5831

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Sandy Creek Emergency Group, Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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