Malynda Gibson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

31631 Issued in TN

Practice address

740 Middle Creek Rd Ste 200
Sevierville, TN 37862-5056

Phone

(865) 453-0792

NPI assigned

May 16, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fort Sanders Perinatal CenterGroup PAC ID 3577505536, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Fort Sanders Perinatal Center

  • Maternal & Fetal Medicine Physician
  • Knoxville, TN
  • NPI 1003811381
  Medicare reassignment Care Compare group NPD
• Leconte Women's Healthcare Associates, PC

  • Obstetrics & Gynecology Physician
  • Sevierville, TN
  • NPI 1053347492
  NPD
• Alan L. Whiton, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Sevierville, TN
  • NPI 1306135967
  NPD (past)
• East Tennessee Eye Surgeons, P.C.

  • Medical Specialty Clinic/Center
  • Powell, TN
  • NPI 1952484354
  NPD (past)
• Francisco G. Moreno, M.D., P.C.

  • Specialist
  • Knoxville, TN
  • NPI 1770767790
  NPD (past)
• Greenbrier Medical

  • Family Nurse Practitioner
  • Sevierville, TN
  • NPI 1285066407
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1104563626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 E UNION VALLEY RD",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654423",
            "telephone_number": "865-201-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 MIDDLE CREEK RD STE 200",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625056",
            "telephone_number": "865-453-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MALYNDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-16",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q079053",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Galentine, NURSE AID
• Joshua Michael Gallimore, MBA, ATC
• Kaitlyn Gannon, PHARMD
• Bianca Nathalia Garcia, DDS
• David W Gary, DMD
• Shirely Gibson, NP
• Tina Spivey Gibson
• Rebekah Marie Gilmore
• Renee Michelle Girouard, PA
• Glennhill Family Dentistry

• Family Nurse Practitioner in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.