Individual provider Active NPI

Heather Noel Gibbons, MD

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
National Provider Identifier
1164609335
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
002276 Issued in GA
Practice address
105 Collier Rd
Suite 1010
Atlanta, GA 30309-1730
Phone
(404) 355-4885
Fax
(404) 355-2210
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 002276 GA Primary

Addresses

Primary practice location

105 Collier Rd
Suite 1010
Atlanta, GA 30309-1730

Mailing address

105 Collier Rd NW
Suite 1010
Atlanta, GA 30309-1710
Phone (404) 355-4885

Other identifiers 1

IdentifierTypeStateIssuer
511I160152OtherGAMEDICARE ID

Other names 1

  • Mrs. Heather Noel Gibbons-Doig Other name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000669 GA Practitioner - Obstetrics/Gynecology 1850468414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
002276GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Perimeter Anesthesia LLC PastSince Feb 8, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.gibbons.1@7561.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1164609335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD NW",
            "address_2": "SUITE 1010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091710",
            "telephone_number": "404-355-4885",
            "fax_number": "404-355-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COLLIER RD",
            "address_2": "SUITE 1010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091730",
            "telephone_number": "404-355-4885",
            "fax_number": "404-355-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "HEATHER",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "002276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "511I160152",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GIBBONS-DOIG",
            "middle_name": "NOEL",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.