Individual provider Active NPI

Megan Logue Gibbs, FNP-BC

  • Family Nurse Practitioner
  • Ashburn, GA
National Provider Identifier
1033902895
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN264295 Issued in GA
Practice address
235 E Washington Ave
Ashburn, GA 31714-5224
Phone
(229) 947-6690
Fax
(229) 947-6691
NPI assigned
May 26, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN264295 GA Primary

Addresses

Primary practice location

235 E Washington Ave
Ashburn, GA 31714-5224

Mailing address

PO Box 531739
Atlanta, GA 30353-1739
Phone (229) 947-3979

Other practice location 1

135 Dogwood St SW
Warwick, GA 31796-5568
Phone (229) 535-4567

Other practice location 2

1701 E 16th Ave
Cordele, GA 31015-5308
Phone (229) 276-2000

Other practice location 3

216 Hospital Dr
Cordele, GA 31015-3275
Phone (229) 376-3677

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251013002238 GA Practitioner - Nurse Practitioner 5799100798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

216 Hospital Dr
Cordele, GA 31015-3275
Phone (229) 271-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN264295GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Regional Hospital, Inc CurrentSince Sep 1, 2025 Accepting new patients
Crisp Regional Hospital Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

235 E Washington Ave
Ashburn, GA 31714
Phone (229) 484-2300

1701 E 16th Ave
Cordele, GA 31015
Phone (229) 276-2000

216 Hospital Dr
Cordele, GA 31015
Phone (229) 271-9330

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

135 Dogwood St SW
Warwick, GA 31796
Phone (229) 535-4567

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Crisp Regional Nursing and Rehabilitation CenterCordele, GA, CCN 115568 Skilled nursing facility Corporate Director
Adp of the SNF
Jan 1, 2025
May 30, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1033902895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531739",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303531739",
            "telephone_number": "229-947-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E WASHINGTON AVE",
            "city": "ASHBURN",
            "state": "GA",
            "postal_code": "317145224",
            "telephone_number": "229-947-6690",
            "fax_number": "229-947-6691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Dogwood St SW",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "GA",
            "postal_code": "317965568",
            "country_code": "US",
            "telephone_number": "229-535-4567",
            "fax_number": "229-535-6556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310155308",
            "country_code": "US",
            "telephone_number": "229-276-2000",
            "fax_number": "229-276-3634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153275",
            "country_code": "US",
            "telephone_number": "229-376-3677",
            "fax_number": "229-276-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "MEGAN",
        "middle_name": "LOGUE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN264295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, GA

Sources for this page

Verify at the official NPI Registry.