NPIMap

Individual provider Active NPI

Justin Gibson, M.D.

  • Neurological Surgery Physician
  • West Columbia, SC
National Provider Identifier
1184155244
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
92161 Issued in SC
Practice address
222 E Medical LN Ste 100 and 200
West Columbia, SC 29169-4847
Phone
(803) 935-8410
Fax
(803) 936-7816
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 92161 SC Primary

Addresses

Primary practice location

222 E Medical LN Ste 100 and 200
West Columbia, SC 29169-4847

Mailing address

PO Box 6069
West Columbia, SC 29171-6069
Phone (803) 935-8410

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgibson176759@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820004757 SC Practitioner - Neurosurgery 1355610593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

222 E Medical LN
Suite 100And200
West Columbia, SC 29169-4847
Phone (803) 791-2575

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbia, SC, CCN 427061
  • Centerwell Home Health Home health agency, Newberry, SC, CCN 427850
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion75
Laminectomy or laminotomy (partial removal of spine bones)22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc Neurological Surgery CurrentSince Jun 15, 2024 Accepting new patients
Lexington Health Inc CurrentSince Jun 15, 2024 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

222 E Medical Ln
Ste 100
West Columbia, SC 29169
Phone (803) 935-8410

222 E Medical Ln
Ste 100200
West Columbia, SC 29169
Phone (803) 791-2575

Interoperability endpoints

  • Direct secure messaging: jgibson176759@direct.lexmed.com

Organizations & group practices 5

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 3

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1184155244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6069",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291716069",
            "telephone_number": "803-935-8410",
            "fax_number": "803-936-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MEDICAL LN STE 100 AND 200",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694847",
            "telephone_number": "803-935-8410",
            "fax_number": "803-936-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "92161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgibson176759@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "222 E Medical Ln Ste 100 And 200",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.