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

Laura B Gordon

Individual provider Registered Nurse · NPI 1841079613

Laura B Gordon is a Nurse Practitioner in Villa Rica, Georgia. Qualified in 2018, 8 years ago. Practices with Tmc-Behavioral Health of West Georgia, a 36-clinician group. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2023
Specialties on file
4
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Practice location Address checks out

20 Herrell Rd
Villa Rica, GA 30180-5527
Phone: (770) 812-3928
Fax: (770) 812-3989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP238583 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN238583 (GA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN238583 (GA)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence RN238583 (GA)

Record details

NPI number1841079613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2023
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address20 Herrell Rd, Villa Rica, GA 30180-5527

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Tmc-Behavioral Health Of West Georgia — 36 clinicians
Accepts Medicare assignment Not indicated

Other providers in Villa Rica