Gloria Gibbs

Individual provider Active NPI Personal Care Attendant · Shannon, NC

NPI 1194664599 · NPPES record last updated Mar 28, 2026

Key facts

NPI
1194664599
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
131 Mayberry Dr
Shannon, NC 28386-9386
Phone
(910) 709-4527
NPI assigned
Mar 28, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

131 Mayberry Dr
Shannon, NC 28386-9386

Mailing address

131 Mayberry Dr
Shannon, NC 28386-9386
Phone (910) 709-4527

Other providers in Shannon, NC

All providers in Shannon, NC · Personal Care Attendant in North Carolina

Sources for this page

Verify at the official NPI Registry.