Individual provider Active NPI

Claudia J Gibbons, MHS, PA-C

  • Emergency Medicine Physician
  • Greensboro, NC
National Provider Identifier
1033629183
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0010-07629 Issued in NC
Practice address
PO Box 10467
Greensboro, NC 27404-0467
Phone
(336) 207-7005
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0010-07629 NC Primary

Addresses

Primary practice location

PO Box 10467
Greensboro, NC 27404-0467

Mailing address

100 Stratford Lakes Dr Unit 227
Durham, NC 27713-3480
Phone (860) 817-7414

Other practice location 1

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 207-7005

Other names 1

  • Claudia J Gibbons Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20220727001018 CT Practitioner - Physician Assistant 8628336211 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-07629NCMDEmergency Medicine Physician
5751CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Jan 1, 2023 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 1, 2020 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 1, 2020 Accepting new patients
Middlesex Hospital CurrentSince Jan 1, 2023 Accepting new patients
Wake Forest Baptist Health Past Accepting new patients

Locations

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Interoperability endpoints

  • Direct secure messaging: cgibbons79358@middlesexhealthprd.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033629183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STRATFORD LAKES DR UNIT 227",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277133480",
            "telephone_number": "860-817-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 10467",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274040467",
            "telephone_number": "336-207-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-207-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "CLAUDIA",
        "middle_name": "J",
        "credential": "MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "0010-07629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "GIBBONS",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.