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

Kimberly Renee Gordon, PA-C

Individual provider Medical Physician Assistant · NPI 1346562147

Kimberly Renee Gordon, PA-C is a Physician Assistant in Waxhaw, North Carolina. Qualified in 2007, 19 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and North Carolina.

Years since qualifying
19
Licensed in
FL, NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9929 Rea Rd Ste 201
Waxhaw, NC 28173-6439
Phone: (704) 316-1650
Fax: (704) 316-1651
Show map & directions

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

Additional practice locations (3)

  • 3131 N McMullen Booth Rd, Clearwater, FL 33761-2008 — (727) 726-8871
  • 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105-5403 — (704) 384-1261
  • 9623 Redstone Dr Ste 300, Indian Land, SC 29707 — (803) 615-0880

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07737 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9105103 (FL)

Record details

NPI number1346562147
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2010
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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