Individual provider Active NPI

Don A Gibson Jr., MD

  • Family Medicine Physician
  • Mount Juliet, TN
National Provider Identifier
1326451246
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71046 Issued in TN
Practice address
325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone
(629) 255-2173
Fax
(629) 255-4066
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71046 TN Primary

Addresses

Primary practice location

325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
Q092050MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170831000336 MS Practitioner - Family Practice 0941518443 Reassigns benefits to 2 organizations
I20240826003537 TN Practitioner - Family Practice 0941518443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians
Independent Healthcare Management IncGroup PAC ID 0840197232, shared by 9 NPIs, 32 clinicians

Practice addresses (Care Compare)

325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone (629) 255-3486

505 Airport Rd
Forest, MS 39074-4033
Phone (601) 333-0947

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71046TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC CurrentSince Sep 1, 2025 Accepting new patients
Heritage Medical Associates PC Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Independent Healthcare Management, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Dra Health Services LLC PastSince Apr 1, 2020 Accepting new patients

Locations

1129 Highway 35 S
#1
Forest, MS 39074
Phone (601) 469-3320

330 N Broad St
#S
Forest, MS 39074
Phone (601) 469-4151

110 Pioneer Way
Magee, MS 39111

347 S Fourth St
Morton, MS 39117
Phone (601) 732-1524

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (629) 255-3486

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Interoperability endpoints

  • Direct secure messaging: dgibson1029181@direct.vumc.org

Organizations & group practices 6

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 4

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1326451246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486",
            "fax_number": "629-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OLD PLEASANT GROVE RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224493",
            "telephone_number": "629-255-2173",
            "fax_number": "629-255-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DON",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "71046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q092050",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.