Active NPI
Christian Philip Gibbs, DNP, FNP-C
- Family Nurse Practitioner
- Buford, GA
National Provider Identifier
1467065433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN264422
- Practice address
- 2800 Buford Dr Ste 110
Buford, GA 30519-5107 - Phone
- (470) 236-4085
- Fax
- (470) 323-9177
- NPI assigned
- Aug 28, 2020
- 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 Nurse Practitioner | 363LF0000X | RN264422 | GA | Primary |
Addresses
Primary practice location
2800 Buford Dr Ste 110
Buford, GA 30519-5107
Mailing address
4015 Hedgemoore CT
Cumming, GA 30041-9453
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN264422 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Family Practice, PC | Current | Accepting new patients | |
| Family Practice Center, P.C. | Current | Accepting new patients |
Locations
2800 Buford Dr
Ste 110
Buford, GA 30519
Phone (470) 236-4085
1747 Langford Dr
Bldg 400-105
Watkinsville, GA 30677
Phone (706) 769-1100
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Bogart, GA
- NPI 1134323033
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1386763514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1467065433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 HEDGEMOORE CT",
"city": "CUMMING",
"state": "GA",
"postal_code": "300419453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 BUFORD DR STE 110",
"city": "BUFORD",
"state": "GA",
"postal_code": "305195107",
"telephone_number": "470-236-4085",
"fax_number": "470-323-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "CHRISTIAN",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN264422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.