Individual provider Active NPI

Natalie P Gibbs, AU.D.

  • Audiologist
  • Warner Robins, GA
National Provider Identifier
1104042753
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AUD003638 Issued in GA
Practice address
401 S Houston Lake Rd
Warner Robins, GA 31088-6305
Phone
(478) 320-1014
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD003638 GA Primary

Addresses

Primary practice location

401 S Houston Lake Rd
Warner Robins, GA 31088-6305

Mailing address

401 S Houston Lake Rd
Warner Robins, GA 31088-6305
Phone (478) 320-1014

Other identifiers 1

IdentifierTypeStateIssuer
AUD003638OtherGALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000517 GA Practitioner - Qualified Audiologist 0446437206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Georgia Audiology LLCGroup PAC ID 2668814518, 2 clinicians

Practice addresses (Care Compare)

524 S Houston Lake Rd
Suite E100
Warner Robins, GA 31088-9059
Phone (478) 320-1014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AUD003638GAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Georgia Audiology LLC Audiologist CurrentSince Feb 1, 2024 Accepting new patients
Warner Robins ENT Associates CurrentSince Dec 27, 2013 Accepting new patients

Locations

524 S Houston Lake Rd
Ste E100
Warner Robins, GA 31088
Phone (478) 235-5836

300 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 971-2500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1104042753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886305",
            "telephone_number": "478-320-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S HOUSTON LAKE RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886305",
            "telephone_number": "478-320-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "NATALIE",
        "middle_name": "P",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AUD003638",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.