Active NPI
Don A Gibson Jr., MD
- Family Medicine Physician
- Mount Juliet, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 71046
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q092050 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Independent Healthcare Management Inc
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
- Centerwell Home Health
- Adoration Home Health, LLC
- S E Lackey Memorial Hospital
- Tristar Summit Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71046 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Medical Associates PC | Current | Accepting new patients | |
| Heritage Medical Associates PC | Family Medicine | Current | Accepting new patients |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Independent Healthcare Management, Inc. | Current | Accepting new patients | |
| Dra Health Services LLC | Past | 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
- 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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1548284060
Family Medicine
-
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1720042021
-
- Rural Health Clinic/Center
- Forest, MS
- NPI 1154670719
-
- Rural Health Clinic/Center
- Raleigh, MS
- NPI 1871272724
-
- Early Intervention Provider Agency
- Madison, MS
- NPI 1982902797
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madison, TN
- NPI 1790161321
-
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
- Home Health Agency
- Lebanon, TN
- NPI 1659301737
-
- Critical Access Hospital
- Forest, MS
- NPI 1306909734
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.