Shelby Gibson, MSN, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · La Fayette, GA
NPI 1356148951 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1356148951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN269259 (GA)
- Practice address
- 4038 E Highway 136
La Fayette, GA 30728-6041 - Phone
- (706) 517-6756
- Fax
- (706) 517-4281
- NPI assigned
- Mar 1, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Mountains Health Services, Inc.
Practice addresses (Care Compare)
1008 N 3Rd Ave
Chatsworth, GA 30705-2118
Phone (706) 517-2273
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250716002819 | GA | Practitioner - Nurse Practitioner | 4183139215 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Mountains Health Services, Inc. | Current |
Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current | Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Current |
Accepting new patients | |
| Georgia Mountains Health Services, Inc. | Past | Accepting new patients |
Locations
165 Blue Ridge Overlook
Blue Ridge, GA 30513
Phone (706) 946-4647
500 Green Rd
Chatsworth, GA 30705
Phone (706) 517-2200
1008 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 517-2273
4038 E Highway 136
La Fayette, GA 30728
Phone (706) 517-6756
Interoperability endpoints
- shelby.gibson.1@20104.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN269259 | GA | Yes |
Addresses
Primary practice location
4038 E Highway 136
La Fayette, GA 30728-6041
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 30513-4431
Phone (706) 946-5607
Other providers in La Fayette, GA
- Thomas W Ford
- Harold Neal Forence Jr.
- Margaret Shelton Forester
- Georgia CVS Pharmacy LLC
- Georgia Mountains Health Services, Inc.
- Carter Grant
- Matthew Samuel Gregory
- Shirley Guilliano
- Holli Guthrie
- Trameka Lashun Harris Jones
All providers in La Fayette, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.