Active NPI
Natalie P Gibbs, AU.D.
- Audiologist
- Warner Robins, GA
National Provider Identifier
1104042753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003638
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AUD003638 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD003638 | GA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Georgia Audiology LLC | Audiologist | Current | Accepting new patients |
| Warner Robins ENT Associates | Current | 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.
-
- Audiologist
- Warner Robins, GA
- NPI 1679333611
-
- Otolaryngology Physician
- Warner Robins, GA
- NPI 1629390547
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.