Melinda Faye Gibson, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-069655 Issued in AL

Practice address

300 N College St
Greenville, AL 36037-2025

Phone

(334) 382-2681

Fax

(334) 383-9884

NPI assigned

Feb 13, 2009

Last updated

Feb 13, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Melinda Faye Rogers Former name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  Medicare reassignment NPD
• LV Stabler Primary Care LLC

  dba Regional Medical Center Clinics

  • Surgery Physician
  • Greenville, AL
  • NPI 1871003533
  Medicare reassignment NPD
• Pediatric Rural Health Clinics, Inc

  dba Greenville Pediatrics

  • Pediatric Nurse Practitioner
  • Greenville, AL
  • NPI 1992742860

  Pediatrics

  NPD (past)
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  NPD (past)

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1104065267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 L V STABLER DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373865",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COLLEGE ST",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360372025",
            "telephone_number": "334-382-2681",
            "fax_number": "334-383-9884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 L V Stabler Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "AL",
            "postal_code": "360373865",
            "country_code": "US",
            "telephone_number": "334-382-9760",
            "fax_number": "334-383-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MELINDA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-069655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "ROGERS",
            "middle_name": "FAYE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Gagliardi
• Gardner Eye Care LLC
• James Caleb Gardner, O.D.
• Garlock Enterprises (Gems Ambulance)
• Setondji Gbegan, PHARMD
• Richard Giovane, M.D.
• Tabitha Jean Gomillion
• Greenville Footcare LLC
• William Hamilton Jr., DMD
• Hands of Standard LLC

• Pediatric Nurse Practitioner in Greenville, AL
• Providers in Greenville, AL by specialty
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.