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

Kenneth D Gordon, MD

Individual provider Internal Medicine Physician · NPI 1871549204

Kenneth D Gordon, MD is an Internal Medicine in Lagrange, Georgia. Graduated from Tulane University School of Medicine in 1988, 38 years ago. Practices with Lagrange Internal Medicine, PC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
38
Trained at
Tulane University School of Medicine
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

1602 Vernon Rd Ste 400
Lagrange, GA 30240-4100
Phone: (706) 882-9341
Fax: (706) 884-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 037816 (GA)

Record details

NPI number1871549204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESApril 15, 2024
Certification dateApril 15, 2024
Mailing address1602 Vernon Rd, Suite 400, Lagrange, GA 30240-4100

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Lagrange Internal Medicine, Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lagrange