Alycia D Gibson, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0000001274 Issued in TN

Practice address

239 Tyson Ave
Paris, TN 38242-4544

Phone

(731) 644-8208

Fax

(731) 644-8551

NPI assigned

Jul 5, 2006

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

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

Enrolled in TN

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

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• West Tennessee Healthcare Henry County Home Health Home health agency, Paris, TN, CCN 447499
• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Merit-based Incentive Payment System (MIPS)

Final score

95.74 of 100Reported as apm

Quality

85.23

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

85.1 of 100Reported as apm

Quality

65.16

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001

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.

• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment Care Compare group NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865
  Medicare reassignment NPD
• Henry County Medical Center

  • Hospitalist Physician
  • Paris, TN
  • NPI 1073765475
  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Henry County Medical Center

  dba Medical Arts Rural Health Clinic

  • Rural Health Clinic/Center
  • Paris, TN
  • NPI 1588275317
  NPD
• Dogwood Clinic Inc

  • Nurse Practitioner
  • Dyersburg, TN
  • NPI 1164586186
  NPD (past)
• Huntingdon Surgical P.C

  • Specialist
  • Huntingdon, TN
  • NPI 1609806355
  NPD (past)
• Jackson Surgical Associates. PA

  • Surgery Physician
  • Jackson, TN
  • NPI 1932154713
  NPD (past)
• Premier Wound Care, PLLC

  dba Premier Wound Care

  • Family Nurse Practitioner
  • Union City, TN
  • NPI 1669355509
  NPD (past)
• Wound Care Clinic SD Inc

  • Nurse Practitioner
  • Jackson, TN
  • NPI 1477529964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HHC, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare Henry County Home Health

  • Home Health Agency
  • Paris, TN
  • NPI 1710930060
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1073544516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 HIGHWAY 140 S",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382015121",
            "telephone_number": "731-243-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424544",
            "telephone_number": "731-644-8208",
            "fax_number": "731-644-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ALYCIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "0000001274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "44D2000904",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1515861",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ganm, LLC
• Patricia Gardner
• Ethan Joseph Garofalo, PA-C
• Lauren Neale Gentry, RN
• Loic Maxime Gerville-Reache, PT
• Wayne St. M Gibson, M.D.
• Robert David Gillespie, MA
• Bar-Bra Fai Glisson, APRN
• Benjamin Scott Glover, P.T.
• Virginia Go, MD

• Medical Physician Assistant in Paris, TN
• Providers in Paris, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.