TAMEKA L GORDOM NPI 1093271041

NPI Information

NPI: 1093271041
Provider Name: TAMEKA L GORDOM
Classification: Health Educator - 174H00000X
Entity Type: Individual
Address:
803 SHADRACK ST
WAYNESBORO, GA
ZIP 30830
Phone: (706) 535-9113
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Tameka L Gordom is a health educator in Waynesboro, GA. The provider is health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work. Tameka L Gordom NPI is 1093271041. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

803 SHADRACK ST
WAYNESBORO, GA
ZIP 30830-244
Phone: (706) 535-9113

The enumeration date for this NPI number is 2/14/2019 and was last updated on 2/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174H00000X	Health Educator		653626	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	83-3582448	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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