Timothy Pius Gibble, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

24654 Issued in NC

Practice address

500 Lauchwood Dr
Laurinburg, NC 28352-5501

Phone

(910) 291-6904

Fax

(910) 291-6907

NPI assigned

Mar 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Atlantic Internal Medicine PA

  • Primary Care Clinic/Center
  • Supply, NC
  • NPI 1982621546

  Internal Medicine

  Medicare reassignment NPD
• Brunswick Community Hospital, LLC

  • Certified Registered Nurse Anesthetist
  • Bolivia, NC
  • NPI 1669725198
  Medicare reassignment NPD
• Columbus Regional Health Network

  • Family Medicine Physician
  • Whiteville, NC
  • NPI 1518263268

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1386604064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602458",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602458",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525501",
            "telephone_number": "910-291-6904",
            "fax_number": "910-291-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBLE",
        "first_name": "TIMOTHY",
        "middle_name": "PIUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "24654",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "24654",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N24654",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8935040",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386604064",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgibble201123@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "500 Lauchwood Dr",
            "city": "Laurinburg",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283525501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Grace Liem Galloway, NP, PHD
• Leatha Garrison
• Generations Health Services
• Generations Health Services
• Ruby Apolinario Geronimo, NP-C
• Donna Edge Gibson, FNP-BC
• Gwendolyn Thomas Gilchrist, LCSWA
• Michelle Gilchrist, FNP
• Michael C. Gilliam, MD
• Tedra Gilmore, MD

• Hospitalist Physician in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Hospitalist Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.