Individual provider Active NPI

Jodi L Gibbs, PA-C

  • Surgical Physician Assistant
  • Columbus, OH
National Provider Identifier
1497850929
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.001732 Issued in OH
Practice address
3555 Olentangy River Rd
Suite 2020
Columbus, OH 43214-3912
Phone
(614) 566-2280
Fax
(614) 533-0124
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 50.001732 OH Primary

Addresses

Primary practice location

3555 Olentangy River Rd
Suite 2020
Columbus, OH 43214-3912

Mailing address

5450 Frantz Rd
Suite 250
Dublin, OH 43016-4134

Other identifiers 1

IdentifierTypeStateIssuer
50.001732OtherOHOHIO PA LICENSE

Other names 1

  • Jodi L Ball Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgibbs32108@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060913000357 OH Practitioner - Physician Assistant 2466456041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

393 E Town St
Columbus, OH 43215-4799

500 Thomas LN
Columbus, OH 43214-3902
Phone (614) 566-4510

6700 Perimeter Dr
Dublin, OH 43016-8063

7500 Hospital Dr
Dublin, OH 43016-8518
Phone (614) 566-8883

929 Harrison Ave
Suite 200
Columbus, OH 43215-1300
Phone (614) 940-4868

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Doctors Hospital Hospital, Columbus, OH, CCN 360152

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.001732OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Dec 30, 2025 Accepting new patients
Ohiohealth Corporation CurrentSince Apr 30, 2012 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Dec 30, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3555 Olentangy River Rd
Ste 2020
Columbus, OH 43214
Phone (614) 459-5871

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

500 Thomas Ln
Ste 2B
Columbus, OH 43214
Phone (614) 566-2280

929 Harrison Ave
Ste 200
Columbus, OH 43215
Phone (614) 940-4868

6700 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 566-0074

7450 Hospital Dr
Ste 350
Dublin, OH 43016
Phone (614) 268-2323

Interoperability endpoints

  • Direct secure messaging: jodi.gibbs.1@26020.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1497850929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD",
            "address_2": "SUITE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "SUITE 2020",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-566-2280",
            "fax_number": "614-533-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JODI",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50.001732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO PA LICENSE",
            "identifier": "50.001732",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgibbs32108@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "500 Thomas Ln",
            "address_2": "Ste 2B",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JODI",
            "last_name": "BALL",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.