NPIMap

Individual provider Active NPI

Hope H Gibson, APRN

  • Gerontology Nurse Practitioner
  • Orangeburg, SC
National Provider Identifier
1215499710
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
22772 Issued in SC
Practice address
3310 Magnolia St
Orangeburg, SC 29115-1466
Phone
(803) 531-6900
Fax
(803) 531-6907
NPI assigned
Apr 3, 2019
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22772 SC
Gerontology Nurse Practitioner 363LG0600X 22772 SC Primary

Addresses

Primary practice location

3310 Magnolia St
Orangeburg, SC 29115-1466

Mailing address

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

Other practice location 1

5110 Fairfield Rd
Columbia, SC 29203-4323
Phone (803) 893-7019

Other identifiers 1

IdentifierTypeStateIssuer
NP5996MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190724002646 SC Practitioner - Nurse Practitioner 4688900988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Centers, Inc.Group PAC ID 2860305075, 25 clinicians

Practice addresses (Care Compare)

3310 Magnolia St
Orangeburg, SC 29115-1466

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22772SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers, Inc CurrentSince May 22, 2019 Accepting new patients
Idg Health Solutions Current Accepting new patients
Family Health Centers, Inc CurrentSince May 22, 2019 Accepting new patients

Locations

3310 Magnolia St
Orangeburg, SC 29115
Phone (803) 531-6900

558 Chestnut St
St Matthews, SC 29135
Phone (803) 655-4099

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFEFCD

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1215499710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292034323",
            "country_code": "US",
            "telephone_number": "803-893-7019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "HOPE",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22772",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "22772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5996",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangeburg, SC

Sources for this page

Verify at the official NPI Registry.