Glenn Gregory Gibbons, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E3378 Issued in AR

Practice address

811 N B St
Fort Smith, AR 72901-2129

Phone

(479) 480-4850

Fax

(479) 480-4833

NPI assigned

Oct 6, 2005

Last updated

Jun 11, 2025By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: rendering.test.p1@direct.veracity-benefits.nextgenshare.com

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.

• Wellness and Special Needs Clinic of West Arkansas

  • Primary Care Clinic/Center
  • Fort Smith, AR
  • NPI 1932556461
  NPD Authorized official
• Veracity Onsite LLC

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1285528182
  NPD
• Fort Smith Hma, LLC

  dba Sparks Regional Medical Center

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1578555736
  NPD (past)
• Sparks Medical Foundation

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1386634285
  NPD (past)
• Sparks Medical Foundation

  dba Sparks Preferred Clinic

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1932204369
  NPD (past)
• Sparks Medical Foundation

  dba Sparks Preferred West

  • Durable Medical Equipment & Medical Supplies
  • Fort Smith, AR
  • NPI 1992800072
  NPD (past)
• Sparks Regional Medical Center

  • Skilled Nursing Facility
  • Fort Smith, AR
  • NPI 1992916308
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1053308874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 N B ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012129",
            "telephone_number": "479-480-4850",
            "fax_number": "479-480-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N B ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012129",
            "telephone_number": "479-480-4850",
            "fax_number": "479-480-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "GLENN",
        "middle_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004590A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148914001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blake Norton Geren, M.D.
• Leah Gerred
• Charles Joshua Geske, P.A.
• Amy Gibbons, PHARMD
• David Gibbons, LAC
• Sarah Gibbons, LPC
• Mandy Sue Gibbs, MS, CCC-SLP
• Awbrey Lanai Gibby
• Beth Gibson, PHARMD
• Charles Gibson, O.D.

• Family Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.