Ernest Leonard Gibson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN207432 Issued in GA

Practice address

2561 Captains Row
Decatur, GA 30035-3062

Phone

(404) 839-2886

NPI assigned

Mar 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs of Anchor L.P.Group PAC ID 4486684784, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920
  Medicare reassignment Care Compare group NPD
• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429
  NPD
• Advanced Anesthesia Associates, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1649260738
  NPD (past)

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1023766862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 CAPTAINS ROW",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353062",
            "telephone_number": "404-839-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 CAPTAINS ROW",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353062",
            "telephone_number": "404-839-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ERNEST",
        "middle_name": "LEONARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN207432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerrold Gibbs, COTA/L
• Sharanda Gibbs
• Gibson Chiropractic Clinic, PC
• Alexa Delana Gibson
• Cheryl Gibson, PHD
• Patricia A Gibson, DC
• Patricia L Gibson, L.P.C.
• Sara Gibson
• Faiza Gilani
• Eleanor Gilchrist, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.