Jill Gibson MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD.205760 Issued in LA

Legal business name

JILL GIBSON MD

Practice address

106 Highland Park PLZ
Covington, LA 70433-7116

Phone

(985) 898-5990

NPI assigned

Sep 16, 2013

Last updated

Jul 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jill Gibson, MDNPI 1417124736

Title

Owner

Phone

(985) 898-5990

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Gibson, M.D.

  • Obstetrics & Gynecology Physician
  • Covington, LA
  • NPI 1417124736
  Medicare reassignment NPD Authorized official
• Allison Falcone, N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Covington, LA
  • NPI 1427437995
  Medicare reassignment NPD

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1528494192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337116",
            "telephone_number": "985-898-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HIGHLAND PARK PLZ",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337116",
            "telephone_number": "985-898-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL GIBSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-16",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-898-5990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.205760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057576",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Jenkins
• Lemuel Phillips Jenkins, M.D.
• Lindsey Jenkins, PA
• Sarah Carpenter Jennings, DDS
• Jerry H Rosenberg MD
• Dan William Joachim, M.D.
• Joe E Johnson, Jr MD Apmc
• John Courtney LLC
• John J Palopoli MD a Professional Medical Limited Liability Company
• Alysia Johnson

• Obstetrics & Gynecology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.

Verify at the official NPI Registry.