Traci Lynn Gibbs, FPMHNP-BC/LCSW

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R873052 Issued in MS

Practice address

1054 Highway 19 S
Meridian, MS 39301-8205

Phone

(601) 531-3200

Fax

(600) 531-3107

NPI assigned

Sep 3, 2008

Last updated

Sep 14, 2023By 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 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, LA, AL3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gibbs Comprehensive Care, LLCGroup PAC ID 3476850694, shared by 3 NPIs, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.18 of 100Reported as group

Quality

78.43

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

3.11 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

10.37

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Gibbs Comprehensive Care, LLC

  • Community/Behavioral Health Agency
  • Meridian, MS
  • NPI 1538528294
  Medicare reassignment NPD Authorized official
• Gibbs Comprehensive Care, LLC

  • Community/Behavioral Health Agency
  • Bernice, LA
  • NPI 1295201242
  Medicare reassignment NPD Authorized official
• Gibbs Comprehensive Care, LLC

  dba Comprehensive Care Behavioral Health

  • Psychiatry Physician
  • York, AL
  • NPI 1598346876
  Medicare reassignment NPD Authorized official
• Gibbs Comprehensive Care, LLC

  • Community/Behavioral Health Agency
  • Meridian, MS
  • NPI 1043097421
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1104074210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "TOOMSUBA",
            "state": "MS",
            "postal_code": "393640188",
            "telephone_number": "601-692-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 HIGHWAY 19 S",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393018205",
            "telephone_number": "601-531-3200",
            "fax_number": "600-531-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Reeves St",
            "address_purpose": "LOCATION",
            "city": "Bernice",
            "state": "LA",
            "postal_code": "712224135",
            "country_code": "US",
            "telephone_number": "318-285-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "credential": "FPMHNP-BC/LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-09-14",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09407",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7757",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "1451",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "R873052",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Elizabeth Gervin-Ward, LCSW
• Gibbs Comprehensive Care, LLC
• Gibbs Comprehensive Care, LLC
• Deandra Rayshon Gibbs
• Shannon Gibbs, NP
• Betty L Gibson, CRNA
• Gary Lamar Gibson II, M.D.
• William H. Gibson, M.D.
• James L Gilbert, PHD
• Treva Gilbert, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.