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

Jefferson Taylor Gordon, MD

Individual provider Family Medicine Physician · NPI 1336167816

Jefferson Taylor Gordon, MD is a Family Practice in Carrollton, Georgia. Qualified in 1989, 37 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
37
Licensed in
GA
In the registry since
2006
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

100 Professional Pl Ste 202
Carrollton, GA 30117-3802
Phone: (770) 832-6861
Fax: (770) 832-9432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 033338 (GA)

Record details

NPI number1336167816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJanuary 4, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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