Active NPI
Shekeita Gibson, RRT
- Home Health Certified Respiratory Therapist
- Macon, GA
National Provider Identifier
1316283104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Certified Respiratory Therapist
- License
- 006556
- Practice address
- 808 Trade Wind Rd
Macon, GA 31206-3785 - Phone
- (478) 973-5055
- NPI assigned
- Dec 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Certified Respiratory Therapist | 2278H0200X | 006556 | GA | Primary |
Addresses
Primary practice location
808 Trade Wind Rd
Macon, GA 31206-3785
Mailing address
808 Tradewind Rd
Macon, GA 31206
UM
Phone (478) 973-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006556 | GA | MD | Home Health Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key of Life Cares, LLC | Current | Accepting new patients | |
| Key of Life Transportation Services | Current | Accepting new patients | |
| Key of Life Ambulance Service | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Ambulance
- Macon, GA
- NPI 1225801533
-
- Home Health Agency
- Macon, GA
- NPI 1508455452
-
- Non-emergency Medical Transport (VAN)
- Macon, GA
- NPI 1245829191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356307200000",
"number": "1316283104",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "808 TRADEWIND RD",
"city": "MACON",
"state": "GA",
"postal_code": "31206",
"telephone_number": "478-973-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 TRADE WIND RD",
"city": "MACON",
"state": "GA",
"postal_code": "312063785",
"telephone_number": "478-973-5055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "SHEKEITA",
"name_prefix": "Ms.",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-24",
"last_updated": "2012-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "2278H0200X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified, Home Health",
"state": "GA",
"license": "006556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.