Individual provider Active NPI

Chad Edward Gibbs, DO

  • Emergency Medicine Physician
  • Opelika, AL
National Provider Identifier
1184367302
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO.3754 Issued in AL
Practice address
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone
(404) 583-3667
NPI assigned
Apr 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X DO.3754 AL Primary

Addresses

Primary practice location

2000 Pepperell Pkwy
Opelika, AL 36801-5452

Mailing address

403 Gwynnes Way
Opelika, AL 36804-7669
Phone (404) 583-3667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250307001134 AL Practitioner - Emergency Medicine 2769903632 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Sylacauga Health Care AuthorityGroup PAC ID 5294710398, 44 clinicians
Newgen Alabama Billing LLCGroup PAC ID 9133657208, 99 clinicians

Practice addresses (Care Compare)

315 W Hickory St
Sylacauga, AL 35150-2913
Phone (256) 401-4467

3316 Hwy 280
Alexander City, AL 35010-3369
Phone (256) 329-7100

Hospital & facility affiliations

  • Coosa Valley Medical Center Hospital, Sylacauga, AL, CCN 010164
  • Russell Medical Center Hospital, Alexander City, AL, CCN 010065

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO.3754ALMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sylacauga Health Care Authority CurrentSince Aug 1, 2025 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Dec 4, 2025 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Aug 1, 2025 Accepting new patients
Flowers HB Medical Services LLC Emergency Medicine CurrentSince Jan 29, 2025 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

9518 US Highway 231
Rockford, AL 35136
Phone (256) 377-4366

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Organizations & group practices 6

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": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1184367302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 GWYNNES WAY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368047669",
            "telephone_number": "404-583-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PEPPERELL PKWY",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015452",
            "telephone_number": "404-583-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-15",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "DO.3754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.