Jennifer Childers Gibson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-F41-TA-D37 Issued in AL

Practice address

700 18TH St S
Birmingham, AL 35233-1856

Phone

(205) 325-8620

Fax

(205) 325-8547

NPI assigned

Apr 22, 2024

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Alabama School of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Alabama at BirminghamGroup PAC ID 3779487970, 93 clinicians

University of Alabama Ophthalmology Services FoundationGroup PAC ID 9234023417, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.gibson.p1@direct.uabmc.nextgenshare.com

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.

• University of Alabama at Birmingham

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1184738478
  Medicare reassignment Care Compare group NPD
• University of Alabama Ophthalmology Services Foundation

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1265485999
  Medicare reassignment Care Compare group NPD
• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723
  Medicare reassignment NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1407995186
  NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1134974397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748267",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748267",
            "telephone_number": "205-325-8620",
            "fax_number": "205-325-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 18TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331856",
            "telephone_number": "205-325-8620",
            "fax_number": "205-325-8547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 University Blvd Ste 405",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331816",
            "country_code": "US",
            "telephone_number": "205-488-0736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JENNIFER",
        "middle_name": "CHILDERS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-F41-TA-D37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Meacham Gibbs, PHARMD
• Jasmine Gibson-Anderson
• Amy Gibson, NNP-BC
• Duncan L Gibson, MSW
• Elena G. Gibson, MD
• Kimyatta Simone Gibson, LMSW
• Lauren Martin Gibson, PA-C
• Margaret Andrews Holland Gibson, PH.D
• Quince-Xhosa Gibson, M.D.
• Taylor Gibson, LPC, NCC

• Optometrist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.