Active NPI
Mary Elizabeth Gibson, M.D.
- Orthopaedic Hand Surgery Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- U5702
- Practice address
- 499 Gloster Creek VLG Ste G1
Tupelo, MS 38801-4751 - Phone
- (662) 377-2663
- NPI assigned
- Jun 2, 2015
- Last updated
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Orthopaedic Surgery Physician | 207X00000X | TRN21705 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | 28979 | MS | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 28979 | MS | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | U5702 | TX | Primary |
Addresses
Primary practice location
499 Gloster Creek VLG Ste G1
Tupelo, MS 38801-4751
Mailing address
499 S Gloster St # G1
Tupelo, MS 38801-5539
Phone (662) 377-2663
Other practice location 1
MSC10 5600 University of New Meixco
Department of Orthopaedics
Albuquerque, NM 87131-0001
Phone (505) 272-4107
Other practice location 2
8715 Village Dr Ste 120
San Antonio, TX 78217-5425
Phone (210) 477-5151
Other practice location 3
1222 S Orange Ave
5th Floor
Orlando, FL 32806-1215
Phone (321) 841-1764
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical School at Houston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8715 Village Dr
Suite 120
San Antonio, TX 78217-5425
Phone (210) 477-5151
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN21705 | FL | MD | Orthopaedic Surgery Physician |
| 28979 | MS | MD | Orthopaedic Hand Surgery Physician |
| U5702 | TX | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Institute of North Mississippi, LLC | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Multi-Specialty | Current | Accepting new patients |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| Orthopaedic Institute of North Mississippi, LLC | Multi-Specialty | Current | Accepting new patients |
| BHS Specialty Network Inc | Multi-Specialty | Past | Accepting new patients |
Locations
499 Gloster Creek Vlg
Ste G1
Tupelo, MS 38801
Phone (662) 377-2663
499 S Gloster St
#G1
Tupelo, MS 38801
Phone (662) 377-2663
6704 Randolph Blvd
Live Oak, TX 78233
Phone (210) 656-9506
2648 Loop 337
New Braunfels, TX 78130
Phone (830) 310-3203
18707 Hardy Oak Blvd
Ste 415
San Antonio, TX 78258
Phone 2104775151 ext. 108
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
8715 Village Dr
Ste 120
San Antonio, TX 78217
Phone (210) 653-5001
17766 Verde Pkwy
Ste 150
Selma, TX 78154
Interoperability endpoints
- mary.gibson.1@1438.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
Multi-Specialty
-
- Orthopaedic Surgery Physician
- Tupelo, MS
- NPI 1790755320
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Amory, MS
- NPI 1023897444
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1205216579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 S GLOSTER ST # G1",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015539",
"telephone_number": "662-377-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 GLOSTER CREEK VLG STE G1",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014751",
"telephone_number": "662-377-2663"
}
],
"practiceLocations": [
{
"address_1": "MSC10 5600 University of New Meixco",
"address_2": "Department of Orthopaedics",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-4107",
"fax_number": "505-272-8098",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8715 Village Dr Ste 120",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782175425",
"country_code": "US",
"telephone_number": "210-477-5151",
"fax_number": "210-477-5152",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1222 S Orange Ave",
"address_2": "5th Floor",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328061215",
"country_code": "US",
"telephone_number": "321-841-1764",
"fax_number": "321-841-1870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIBSON",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "TRN21705",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MS",
"license": "28979",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MS",
"license": "28979",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "U5702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.