Michael Gibson

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

MICHAEL GIBSON

Doing business as

Specialty Transportation

Practice address

194 Jones Rd
Sneedville, TN 37869-3639

Phone

(423) 300-2110

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Nicole Turner

Title

Manager

Phone

(423) 300-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Specialty Transportation Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Scott Gibson

  • Driver
  • Sneedville, TN
  • NPI 1881863355
  NPD

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1043706823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378690202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 JONES RD",
            "city": "SNEEDVILLE",
            "state": "TN",
            "postal_code": "378693639",
            "telephone_number": "423-300-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GIBSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "423-300-2110"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018573",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Michelle Herron, LPN
• Jennifer Holtmann, PT
• Mitchell C Horton, LPC, MHSP
• Craig Jerome Lenz, D.O.
• Medtrust Medical Services Inc.
• Sally June Morris, RN
• Renate Gabriele Munari, MD
• Roland Timothy O'Leary, MD
• Lori B Ogle, FNP
• Wayne C Page, MD

• Driver in Sneedville, TN
• Providers in Sneedville, TN by specialty
• Driver in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.