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

Individual provider Otolaryngology Physician · NPI 1811076938

Kyle Ford Gordon, MD is an Otolaryngology in Jackson, Mississippi. Graduated from Tulane University School of Medicine in 1991, 35 years ago. Practices with ENT Surgical Group PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
35
Trained at
Tulane University School of Medicine
Licensed in
MS
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

970 Lakeland Dr Ste 40
Jackson, MS 39216-4640
Phone: (601) 200-4850
Fax: (601) 200-4838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 13240 (MS)

Record details

NPI number1811076938
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2006
Last updated in NPPESFebruary 26, 2019
Mailing addressPo Box 23666, Jackson, MS 39225-3666

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Ent Surgical Group Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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