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

Mrs. Jessica Gordon, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164104899

Mrs. Jessica Gordon, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Myrtle Beach, South Carolina. Qualified in 2024, 2 years ago. Practices with Atlantic Coast Anesthesia Services PC, a 76-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Myrtle Beach, SC

Additional practice locations (2)

  • 1330 Powell St, Norristown, PA 19401-3353 — (484) 622-7280
  • 1021 Cipriana Dr Ste 100, Myrtle Beach, SC 29572-4621 — (843) 449-7885

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 29864 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164104899
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Atlantic Coast Anesthesia Services Pc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Myrtle Beach