William Leonard Gibson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10779 Issued in AL

Practice address

180 Medical St
Baptist Health Center - Snead
Snead, AL 35952

Phone

(205) 466-7114

Fax

(205) 466-3350

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EFFBDD

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.

• Gana Holdings, LLC

  • Internal Medicine Physician
  • Snead, AL
  • NPI 1396375267

  AL

  Medicare reassignment NPD
• St Vincents Blount

  • Emergency Medicine Physician
  • Oneonta, AL
  • NPI 1952599086

  AL, Emergency Medicine

  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AL, Emergency Medicine

  Medicare reassignment NPD
• St. Vincent'S Blount

  • Rural Health Clinic/Center
  • Cleveland, AL
  • NPI 1225585383

  Family Medicine

  NPD
• St. Vincent'S Blount

  • Pharmacy
  • Oneonta, AL
  • NPI 1730704024
  NPD
• Altoona Health & Rehab, Inc.

  • Skilled Nursing Facility
  • Altoona, AL
  • NPI 1609868595
  NPD (past)
• BHC - Edwin Moyo MD

  • Family Medicine Physician
  • Birmingham, AL
  • NPI 1497719652

  Family Medicine

  NPD (past)
• Diversicare of Oneonta, LLC

  • Skilled Nursing Facility
  • Oneonta, AL
  • NPI 1417402504
  NPD (past)
• Inceptivia Health & Wellness LLC

  • Primary Care Clinic/Center
  • Attalla, AL
  • NPI 1750094744
  NPD (past)
• St. Clair Emergency Physicians, LLC.

  • Emergency Medicine Physician
  • Pell City, AL
  • NPI 1619112141

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1083609606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "address_2": "BAPTIST HEALTH CENTER - SNEAD",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "359520576",
            "telephone_number": "205-466-7114",
            "fax_number": "205-466-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MEDICAL ST",
            "address_2": "BAPTIST HEALTH CENTER - SNEAD",
            "city": "SNEAD",
            "state": "AL",
            "postal_code": "35952",
            "telephone_number": "205-466-7114",
            "fax_number": "205-466-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WILLIAM",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "10779",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "10779",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000085126",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051010596",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051545973",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051085126",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554534",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051520363",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Agape Medicine, LLC
• BHC-Blount & Etowah Counties
• William Matthew Fallin, P.A.
• Gana Holdings, LLC
• Mary Katherine Gentry
• Impact Therapy, Inc
• John M Gentry
• Kelly S Knowles, RPT
• Lauren Loveless, CRNP
• Patriot Dental Snead LLC

• All providers in Snead, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.