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Professional Park Medical Services, P.C.

Family Medicine Physician in Carrollton, GA · enumerated 2006 · authorized official Jefferson Gordon, Family Practice MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386662849

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Park Medical Services, P.C.
Practice address Suite 202, 100 Professional Park, Carrollton, GA, 30117
Phone (770) 832-6861
Fax (770) 832-9432
Enumeration date Jul 17, 2006
Last updated in NPPES Mar 4, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jefferson Gordon
Title Family Practice MD
Phone (770) 832-6861

Other identifiers

Identifier Type State Issuer
CJ2154 Other GA MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Professional Park Medical Services, P.C.?
NPPES lists Jefferson Gordon (Family Practice MD) as the authorized official for this organization.
What is the NPI number for Professional Park Medical Services, P.C.?
The NPI for Professional Park Medical Services, P.C. is 1386662849, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-03-04.