Jonathon Andrew Gibson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-140866 Issued in AL

Practice address

1715 N Bunner St
Foley, AL 36535-2229

Phone

(205) 379-0174

Fax

(888) 219-8102

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Infusion Services LLC 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Alabama Infusion Services LLC

  • Infusion Therapy Clinic/Center
  • Vestavia, AL
  • NPI 1649736323

  AL

  Medicare reassignment Care Compare group NPD
• The Orthopaedic Group, PC

  • Specialist
  • Mobile, AL
  • NPI 1164489951

  AL, Orthopaedic Surgery

  Medicare reassignment NPD
• The Orthopaedic Group, P.C.

  • Orthopaedic Surgery Physician
  • Foley, AL
  • NPI 1003158965

  Orthopaedic Surgery

  NPD
• Flexcare Infusion Okc, LLC

  • Infusion Therapy Clinic/Center
  • Oklahoma City, OK
  • NPI 1013480490
  NPD (past)

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1205489804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ACTON RD STE 153",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352432939",
            "telephone_number": "205-379-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N BUNNER ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352229",
            "telephone_number": "205-379-0174",
            "fax_number": "888-219-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JONATHON",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "1-140866",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gene Terrezza OD and Associates PA
• Genesis Dental Group Foley PC
• Dionne Gerfen, LCPC
• Phillip M Giambrone, D.D.S.
• Debra M. Gibson, DPM
• Christopher Kolessar Giegel, PT, DPT
• Gilmore & Associates LLC
• Rachel Leeanne Gilmore, DC
• Bayleigh P Gilreath, AU.D.
• Elizabeth Polovich Gilreath, PT

• All providers in Foley, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.

Verify at the official NPI Registry.