Individual provider Active NPI

Crystal D Gibson, PA C

  • Physician Assistant
  • Hazard, KY
National Provider Identifier
1174578835
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA807 Issued in KY
Practice address
101 Town and Country LN
Suite 100
Hazard, KY 41701-9524
Phone
(606) 439-1300
Fax
(606) 439-1400
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA807 KY Primary

Addresses

Primary practice location

101 Town and Country LN
Suite 100
Hazard, KY 41701-9524

Mailing address

200 Medical Center Dr Ste 1a
Hazard, KY 41701-9477
Phone (606) 439-5220

Other practice location 1

200 Medical Center Dr Ste 1A
Hazard, KY 41701-9477
Phone (606) 439-5220

Other identifiers 1

IdentifierTypeStateIssuer
95004271MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address crystalgibson@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20040329000907 KY Practitioner - Physician Assistant 5890687305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

214 Hospital Rd
Whitesburg, KY 41858-7627
Phone (606) 633-6255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Apr 8, 2015 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC CurrentSince Apr 8, 2015 Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Primary Care Centers of Eastern Kentucky, LLC Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Dec 23, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Dec 23, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. Physician Assistant Past Accepting new patients
Whitesburg Women's Center, LLC PastSince Jul 26, 2014 Accepting new patients

Locations

145 Citizens Ln
Ste B
Hazard, KY 41701
Phone (606) 439-1300

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 487-7503

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-5057

101 Town and Country Ln
#100
Hazard, KY 41701
Phone (606) 439-1300

200 Medical Center Dr
Ste 1A
Hazard, KY 41701
Phone (606) 439-5220

425 Hindman Byp
Hindman, KY 41822
Phone (606) 785-1300

21992 Main St
Hyden, KY 41749
Phone (606) 672-5200

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

214 Hospital Rd
#D
Whitesburg, KY 41858
Phone (606) 633-5553

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA
  • Direct secure messaging: crystalgibson@arh.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1174578835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR STE 1A",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019477",
            "telephone_number": "606-439-5220",
            "fax_number": "606-439-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN",
            "address_2": "SUITE 100",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Center Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019477",
            "country_code": "US",
            "telephone_number": "606-439-5220",
            "fax_number": "606-439-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "CRYSTAL",
        "middle_name": "D",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95004271",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystalgibson@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "200 Medical Center Dr Ste 1A",
            "city": "Hazard",
            "state": "KY",
            "country_code": "US",
            "postal_code": "417019477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hazard, KY

Sources for this page

Verify at the official NPI Registry.