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

Tyriss Iman Gordon, FNP

Individual provider Family Nurse Practitioner · NPI 1790657500

Tyriss Iman Gordon, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

9915 Park Cedar Dr
Charlotte, NC 28210-8905
Phone: (866) 389-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5023121 (NC)

Record details

NPI number1790657500
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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