Active NPI
Janai Lashana Gibson, PA-C
- Surgical Physician Assistant
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 7456
- Practice address
- 1279 Highway 54 W Ste 100
Fayetteville, GA 30214-4551 - Phone
- (770) 719-5710
- NPI assigned
- Feb 21, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 7456 | GA | Primary |
Addresses
Primary practice location
1279 Highway 54 W Ste 100
Fayetteville, GA 30214-4551
Mailing address
1279 Highway 54 W Ste 100
Fayetteville, GA 30214-4551
Phone (770) 719-5710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
1285 Upper Hembree Rd
Roswell, GA 30076-1143
Phone (770) 343-8565
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000
1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
- Northside Hospital
- Northside Hospital Gwinnett
- Piedmont Hospital, Inc
- Emory University Hospital Midtown
- Piedmont Fayette Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7456 | GA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Covenant Medical Group LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883
Interoperability endpoints
- jgibson145019@cityofhope.direct-ci.com
Organizations & group practices 9
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
- Atlanta, GA
- NPI 1396798229
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Cardiovascular Disease Physician
- Roswell, GA
- NPI 1518979921
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- Pulmonary Disease Physician
- Marietta, GA
- NPI 1194235853
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Pediatrics Physician
- Marietta, GA
- NPI 1992001952
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1346419652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1279 HIGHWAY 54 W STE 100",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144551",
"telephone_number": "770-719-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1279 HIGHWAY 54 W STE 100",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302144551",
"telephone_number": "770-719-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "JANAI",
"middle_name": "LASHANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-21",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.