Bobby Gibson Jr., M.S.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

328 W Claiborne St
Monroeville, AL 36460-1738

Phone

(251) 575-4203

Fax

(251) 575-9459

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/swamh/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.

• Southwest Alabama Behavioral Health Care Systems

  • Community/Behavioral Health Agency
  • Monroeville, AL
  • NPI 1215104682
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1164964615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 W CLAIBORNE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364601738",
            "telephone_number": "251-575-4203",
            "fax_number": "251-575-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 W CLAIBORNE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364601738",
            "telephone_number": "251-575-4203",
            "fax_number": "251-575-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BOBBY",
        "name_suffix": "Jr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gearhart, DMD
• Lori Gearhart, DMD
• Gericare Medical Supply Inc
• Pamala J. Gibbs, M.D.
• Allison Gibson
• Peggy A Gibson, CRNP
• Victoria Powell Gibson, FNP
• Versie Renee Griffin, LICSW
• Gulf Coast Health & Wellness, LLC
• Reagan Wild Hanks

• Addiction (Substance Use Disorder) Counselor in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Addiction (Substance Use Disorder) Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.