Individual provider Active NPI

Mary-Joyce Beasley Gibson, NP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1245668938
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006525 Issued in NC
Practice address
6060 Piedmont Row Dr S FL 6
Charlotte, NC 28287-3884
Phone
(704) 495-6334
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 5006525 NC
Family Nurse Practitioner 363LF0000X 5006525 NC Primary

Addresses

Primary practice location

6060 Piedmont Row Dr S FL 6
Charlotte, NC 28287-3884

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 355-5100

Other identifiers 1

IdentifierTypeStateIssuer
1245668938MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20140428000007 NC Practitioner - Nurse Practitioner 5597998666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

6060 Piedmont Row Dr S
Charlotte, NC 28287-2800
Phone (704) 495-6334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006525NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC CurrentSince Feb 25, 2024 Accepting new patients
Tryon Medical Partners, PLLC CurrentSince Dec 17, 2018 Accepting new patients
Liberty Healthcare Group, LLC CurrentSince Dec 15, 2014 Accepting new patients
Kenly Medical Associates, PA CurrentSince Feb 15, 2014 Accepting new patients
Liberty Healthcare Group LLC CurrentSince Dec 15, 2014 Accepting new patients

Locations

6060 Piedmont Row Dr S
Fl 6
Charlotte, NC 28287
Phone (704) 489-3094

10635 Park Rd
Ste I
Charlotte, NC 28210
Phone (704) 495-6025

6060 Piedmont Row Dr S
#6
Charlotte, NC 28287

5950 Fairview Rd
Ste 330
Charlotte, NC 28210

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

13557 Steelecroft Pkwy
Ste 1200
Charlotte, NC 28278
Phone (704) 316-2080

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

11030 Golf Links Dr
Ste 100
Charlotte, NC 28277
Phone (704) 384-1166

924 Cox Rd
Gastonia, NC 28054
Phone (704) 800-4268

9615 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 489-3113

101 E 2nd St
Kenly, NC 27542
Phone (919) 249-5652

630 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 495-6020

420 Eastwood Rd
Ste 102
Wilmington, NC 28403
Phone (910) 251-8111

2334 41st St
Wilmington, NC 28403
Phone (910) 815-3122

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17847/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.joyce.gibson.1@17847.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1245668938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 6",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873884",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 Cameron Valley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114369",
            "country_code": "US",
            "telephone_number": "704-355-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARY-JOYCE",
        "middle_name": "BEASLEY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006525",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245668938",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.