William Donald Gibson, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35020 Issued in TN

Practice address

1113 Murfreesboro Rd Ste 319
Franklin, TN 37064-1312

Phone

(615) 790-0567

Fax

(615) 814-2924

NPI assigned

Jul 3, 2006

Last updated

Aug 10, 2020By the provider in NPPES

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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20691/brand/1/csg/1/fhir/r4

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.

• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236
  Medicare reassignment NPD
• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  Medicare reassignment
• Emcare Physician Providers, Inc.

  • Emergency Medicine Physician
  • Morristown, TN
  • NPI 1598714826
  NPD (past)
• Emergency Physicians of Montgomery County, PLLC

  • Emergency Medicine Physician
  • Clarksville, TN
  • NPI 1336166388
  NPD (past)
• Emergency Physicians of Portland, PLLC

  • Emergency Medicine Physician
  • Portland, TN
  • NPI 1568401420
  NPD (past)
• State of Tennessee

  dba Williamson County Health Dept-Fairview Clinic

  • Public Health or Welfare Agency
  • Fairview, TN
  • NPI 1386797058
  NPD (past)
• Emergency Physicians of Hopkinsville PLLC

  • Emergency Medicine Physician
  • Hopkinsville, KY
  • NPI 1497951388
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1316977812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD",
            "address_2": "STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-269-0652",
            "fax_number": "615-269-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 MURFREESBORO RD STE 319",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370641312",
            "telephone_number": "615-790-0567",
            "fax_number": "615-814-2924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3441 Dickerson Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072539",
            "country_code": "US",
            "telephone_number": "615-769-4401",
            "fax_number": "615-769-4730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Commerce St",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370913340",
            "country_code": "US",
            "telephone_number": "615-790-0567",
            "fax_number": "931-422-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "WILLIAM",
        "middle_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "35020",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "35020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3861367",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4007978",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STONES RIVER IPA",
            "identifier": "4013360",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3861369",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00339020",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICAID",
            "identifier": "64041098",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gibson
• Olivia Ellis Gibson, LCSW
• Richard Dale Gibson, M.D.
• Victoria Cornelus Gibson, MA CCC SLP
• William Clay Gibson, DPT
• Jeannie Kristin Giese, DNP
• Kayla Brooke Gilbert
• Rose M. Gilbert, RN
• Cathy Giles, OTR
• Jeanne Gill

• General Practice Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.