James Gibson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN123486 Issued in GA

Practice address

892 Prince Ave
Suite C
Athens, GA 30606-2724

Phone

(706) 227-2027

Fax

(706) 227-2433

NPI assigned

Jan 20, 2006

Sex

Male

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 GA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Athens, GA
  • NPI 1295370542
  Medicare reassignment NPD
• Athens Clarke Medical Enterprises LLC

  • Emergency Medicine Physician
  • Greensboro, GA
  • NPI 1538791579
  NPD
• Athens Family Medicine LLC

  • Family Medicine Physician
  • Athens, GA
  • NPI 1427418391
  NPD
• Madison Primary Care, LLC

  • Family Medicine Physician
  • Madison, GA
  • NPI 1710911458
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1144200411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "706-227-2027",
            "fax_number": "706-227-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PRINCE AVE",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062724",
            "telephone_number": "706-227-2027",
            "fax_number": "706-227-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN123486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000925922E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaishnavi Ghantasala, M.D
• Patricia Elena Ghattas Hasbun, MD
• Ghm2012 Corp.
• Nicole Gibbs
• Patricia Gibby, RN
• Joel Herman Gibson Jr., LPC
• Staci Gibson, ST
• Jesse Kenwood Giffhorn, M.D.
• Robert Michael Gifford, DNP
• Pamela Rae Gilchrist, LMT

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.