Carolyn Jackman Gordon, CRNP, PMHNP-BC
NPI 1710711262 · Psychiatric/Mental Health Nurse Practitioner · Lumberton, NC
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolyn Jackman Gordon, CRNP, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Lumberton, NC (NPI 1710711262).
Provider details
- NPI number
- 1710711262
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- AC006921 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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
Additional practice locations (2)
- 34 Shining Willow Way # 239La Plata, MD 20646-4224Phone: (015) 426-4753Fax: (240) 690-6614
- 8040 Georgia Ave Ste 170Silver Spring, MD 20910-4959Phone: (202) 360-4787Fax: (202) 360-4787
Registry dates
- Enumerated
- 2024-08-28
- Last updated
- 2026-05-04
- Certified
- 2026-05-04
Frequently asked questions
- What is Carolyn Jackman Gordon's NPI number?
- Carolyn Jackman Gordon's National Provider Identifier (NPI) is 1710711262, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolyn Jackman Gordon's specialty?
- Carolyn Jackman Gordon is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carolyn Jackman Gordon located?
- Carolyn Jackman Gordon's practice location on file with NPPES is 401 W 27th St, Lumberton, NC 28358-3019.
- What is Carolyn Jackman Gordon's phone number?
- The practice phone number listed in the NPPES registry for Carolyn Jackman Gordon is (910) 370-0434.
- Does Carolyn Jackman Gordon accept Medicare?
- Carolyn Jackman Gordon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolyn Jackman Gordon's NPI active?
- Yes — Carolyn Jackman Gordon's NPI (1710711262) is active in the NPPES registry as of the last update on 2026-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.