Active NPI
H.P. Gibson, CRNA
- Certified Registered Nurse Anesthetist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2992
- Practice address
- 555 E Cheves St
Florence, SC 29506-2617 - Phone
- (843) 777-2000
- NPI assigned
- Apr 17, 2006
- Last updated
- Dec 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-065636 | AL | |
| Certified Registered Nurse Anesthetist | 367500000X | 2992 | SC | Primary |
Addresses
Primary practice location
555 E Cheves St
Florence, SC 29506-2617
Mailing address
3100 Spring Forest Rd
Suite 130
Raleigh, NC 27616-2880
Phone (919) 882-0705
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173758061A | Other | AL | CAID GA |
| 000029197 | Medicaid | AL | |
| 430036750 | Other | AL | PALMETTO |
Other names 1
- Sam Gibson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
606 Black River Rd
Georgetown, SC 29440-3304
Phone (843) 527-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33943 | SC | MD | Family Medicine Physician |
| 2992 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Cheraw | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Current | Accepting new patients | |
| Tidelands Anesthesia Group LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| SC Anesthesiology LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Health Cheraw | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Health Cheraw | Current | Accepting new patients | |
| McLeod Medical Center-Dillon | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Montgomery Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Premier Anesthesia of Montgomery PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
711 Chesterfield Hwy
Cheraw, SC 29520
Phone (843) 320-3304
1520 Taylor St
Columbia, SC 29201
Phone (803) 254-8449
301 E Jackson St
Dillon, SC 29536
Phone (843) 774-1166
555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233
805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
2200 Crow Ln
Ste 102
Myrtle Beach, SC 29577
Phone (843) 520-8217
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Georgetown, SC
- NPI 1144017781
-
dba McLeod Health Cheraw Physicians
- Certified Registered Nurse Anesthetist
- Cheraw, SC
- NPI 1275912974
Nurse Anesthetist, Certified Registered
-
dba McLeod Loris/Seacoast Physicians
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
Nurse Anesthetist, Certified Registered
-
dba McLeod Dillon Emergency
- Hospitalist Physician
- Dillon, SC
- NPI 1720033988
Nurse Anesthetist, Certified Registered
-
dba Cbo MRMC Emergency
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1205109428
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, SC
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
-
dba McLeod Family Medicine - Darlington
- Rural Health Clinic/Center
- Darlington, SC
- NPI 1003410903
-
dba McLeod Family Medicine-Marion
- Rural Health Clinic/Center
- Mullins, SC
- NPI 1710532486
-
dba McLeod Choice Pharmacy Seacoast
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tidelands Waccamaw Community Hospital
- General Acute Care Hospital
- Murrells Inlet, SC
- NPI 1972503910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482278400000",
"number": "1467416354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SPRING FOREST RD",
"address_2": "SUITE 130",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276162880",
"telephone_number": "919-882-0705",
"fax_number": "919-873-9821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E CHEVES ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062617",
"telephone_number": "843-777-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "H.P.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2016-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-065636",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "2992",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAID GA",
"identifier": "173758061A",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000029197",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "430036750",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SAM",
"last_name": "GIBSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.