NPIMap

Individual provider Active NPI

Valda Gibson, M.D.

  • Internal Medicine Physician
  • Myrtle Beach, SC
National Provider Identifier
1205851425
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
91826 Issued in SC
Practice address
3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone
(843) 350-1124
Fax
(877) 452-8854
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 030411 GA
Internal Medicine Physician 207R00000X 91826 SC Primary

Addresses

Primary practice location

3725 Renee Dr
Myrtle Beach, SC 29579-4109

Mailing address

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

Other identifiers 1

IdentifierTypeStateIssuer
918261MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address valda.gibson.3@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050422001019 GA Practitioner - Internal Medicine 7315985967 Reassigns benefits to 2 organizations
I20240829001117 SC Practitioner - Internal Medicine 7315985967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

3725 Renee Dr
Myrtle Beach, SC 29579-4109
Phone (843) 350-1124

6085 Old National Hwy
Suite G
South Fulton, GA 30349-4333
Phone (470) 754-6360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
98.74
Improvement activities
40
Cost
83.11

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
77.5
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030411GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 On Physicians, PC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Centerwell Senior Primary Care Ga PC Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Centerwell Senior Primary Care SC JV PC Internal Medicine CurrentSince Nov 2, 2025 Accepting new patients
North Atlanta Professional Services LLC Hospitalist CurrentSince Mar 2, 2014 Accepting new patients
Centerwell Senior Primary Care SC JV PC Internal Medicine CurrentSince Nov 2, 2025 Accepting new patients
Centerwell Senior Primary Care Ga PC Internal Medicine CurrentSince Sep 16, 2024 Accepting new patients
Centerwell Senior Primary Care (NC) PC Internal Medicine Past Accepting new patients
The Southeast Permanente Medical Group Internal Medicine Past Accepting new patients
Centerwell Senior Primary Care SC JV PC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

4700 Millenia Blvd
Ste 650
Orlando, FL 32839
Phone (407) 533-6837

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

3030 Headland Dr SW
Ste 600
Atlanta, GA 30311
Phone (470) 832-5973

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1821 Mount Zion Rd
Morrow, GA 30260
Phone (470) 754-6380

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

6085 Old National Hwy
Ste G
South Fulton, GA 30349
Phone (470) 754-6360

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

2520 S Highway 17
Unit 10
Murrells Inlet, SC 29576
Phone (843) 595-2937

3725 Renee Dr
Myrtle Beach, SC 29579
Phone (843) 350-1124

1612 Airport Blvd
West Columbia, SC 29169
Phone (803) 380-6399

Interoperability endpoints

  • Direct secure messaging: valda.gibson.3@29601.direct.athenahealth.com
  • Direct secure messaging: vgibson82618@direct.anmedhealth.net
  • Direct secure messaging: valda.gibson.2@29601.direct.athenahealth.com

Organizations & group practices 10

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1205851425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 RENEE DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794109",
            "telephone_number": "843-350-1124",
            "fax_number": "877-452-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "VALDA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "030411",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "91826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918261",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valda.gibson.3@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "valda.gibson.3@29601.direct.athenahealth.com",
            "address_1": "3725 Renee Dr",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295794109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.