Marion Logan Gibbons, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18478 Issued in SC

Practice address

1 Medical Park Drive
Building 3, Suite a
Chester, SC 29706-9769

Phone

(803) 581-2400

Fax

(803) 581-2401

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgibbons253861@direct.musc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carolina Family Care, Inc

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722

  Pediatrics, SC

  Medicare reassignment NPD
• Medical University Hospital Authority

  • Certified Registered Nurse Anesthetist
  • Charleston, SC
  • NPI 1255305876

  SC

  Medicare reassignment NPD
• Carolina Family Care, Inc

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1144694662
  NPD
• Medical University Hospital Authority

  • Rural Health Clinic/Center
  • Mullins, SC
  • NPI 1164987624

  Pediatrics

  NPD
• Medical University Hospital Authority

  • Children's Rehabilitation Hospital
  • Charleston, SC
  • NPI 1659101277
  NPD
• Chester Hma Physician Management Inc

  • Family Medicine Physician
  • Chester, SC
  • NPI 1386757177

  Pediatrics

  NPD (past)
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Lancaster, SC
  • NPI 1700359205
  NPD (past)
• South Carolina Heart Center

  • Cardiovascular Disease Physician
  • Columbia, SC
  • NPI 1760435051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1003823931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DRIVE",
            "address_2": "BUILDING 3, SUITE A",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-2400",
            "fax_number": "803-581-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DRIVE",
            "address_2": "BUILDING 3, SUITE A",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297069769",
            "telephone_number": "803-581-2400",
            "fax_number": "803-581-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "MARION",
        "middle_name": "LOGAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "18478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184785",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin B. Johnson, P.a.
• Addie Freeman
• Julius G. Freeman Jr., M.D.
• Jejuan Gamble, PHARM.D.
• Jessy George
• Kristin Marie Gibson, CACII, MAC, LPC, LAC
• Vondrika Gilmore
• Goldencare, Inc
• Janelle Gore, LPC-A
• Jennifer M Gregory, NP

• All providers in Chester, SC
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.