Tessa L Gibson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35096426 Issued in OH

Practice address

2112 Shorter Ave NW Ste 200
Rome, GA 30165-2042

Phone

(706) 295-1184

Fax

(706) 236-1919

NPI assigned

Jul 25, 2008

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Apogee Medical Group Georgia Inc

  • Internal Medicine Physician
  • Carrollton, GA
  • NPI 1629025143
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1336304609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SHORTER AVE NW STE 200",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652042",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 SHORTER AVE NW STE 200",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652042",
            "telephone_number": "706-295-1184",
            "fax_number": "706-236-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Red Bud Rd NE",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "GA",
            "postal_code": "307016010",
            "country_code": "US",
            "telephone_number": "706-602-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "TESSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "61739",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35096426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Getchell
• Joyce Ann Giancola-Bolton, LPC
• Taylor Rae Gibbs, FNP-C
• Stephen P Gibert Jr., MD
• Barbara Lillian Gibson, FNP
• Alison Adams Giddens, MPT
• Jeffrey B Giddens, PT
• Travis Giesbrecht, PT
• Jesselyn Gifford, PHARMD
• William Barritt Gilbert, MD

• Internal Medicine Physician in Rome, GA
• Providers in Rome, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.