Maxie Gordon MD & Associates, PLLC
NPI 1114105665 · Psychiatry Physician · Clinton, MS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maxie Gordon MD & Associates, PLLC is a Psychiatry Physician organization in Clinton, MS (NPI 1114105665).
Provider details
- NPI number
- 1114105665
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teandra Walton, Director of Business Operations(601) 488-8101
- License
- 9801288 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Gordon Medical Arts Clinic
Additional practice locations (1)
- 102e N Cass StCorinth, MS 38834-0000Phone: (662) 665-1545Fax: (662) 287-5678
Registry dates
- Enumerated
- 2008-02-07
- Last updated
- 2019-08-21
Frequently asked questions
- What is Maxie Gordon MD & Associates, PLLC's NPI number?
- Maxie Gordon MD & Associates, PLLC's National Provider Identifier (NPI) is 1114105665, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maxie Gordon MD & Associates, PLLC?
- Maxie Gordon MD & Associates, PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Maxie Gordon MD & Associates, PLLC located?
- Maxie Gordon MD & Associates, PLLC's practice location on file with NPPES is 590 Springridge Rd, Clinton, MS 39056.
- What is Maxie Gordon MD & Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Maxie Gordon MD & Associates, PLLC is (601) 488-8101.
- Does Maxie Gordon MD & Associates, PLLC accept Medicare?
- Maxie Gordon MD & Associates, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Maxie Gordon MD & Associates, PLLC?
- The authorized official listed on Maxie Gordon MD & Associates, PLLC's NPPES record is Teandra Walton, Director of Business Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maxie Gordon MD & Associates, PLLC's NPI active?
- Yes — Maxie Gordon MD & Associates, PLLC's NPI (1114105665) is active in the NPPES registry as of the last update on 2019-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.