NPIMap

Individual provider Active NPI

Joanna Cher Gibbs, MD

  • Internal Medicine Physician
  • Crossville, TN
National Provider Identifier
1558372862
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD32165 Issued in TN
Practice address
57 W Adams St
Crossville, TN 38555-4836
Phone
(931) 250-5433
Fax
(931) 250-5434
NPI assigned
Aug 11, 2006
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD32165 TN Primary

Addresses

Primary practice location

57 W Adams St
Crossville, TN 38555-4836

Mailing address

57 W Adams St
Crossville, TN 38555-4836
Phone (931) 250-5433

Other practice location 1

100 Lantana Road
Suite 202
Crossville, TN 38555-1903
Phone (931) 484-5141 ext. 5411

Other identifiers 3

IdentifierTypeStateIssuer
110223950OtherRAILROAD MEDICARE
3861257MedicaidTN
4013840OtherTNBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091214000048 TN Practitioner - Internal MedicinePractitioner - Family Practice 2961443569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Associates, PLLCGroup PAC ID 0547543019, 2 clinicians

Practice addresses (Care Compare)

57 W Adams St
Crossville, TN 38555-4836
Phone (931) 250-5433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.72 of 100Reported as group
Quality
100
Promoting interoperability
86
Improvement activities
40
Cost
70.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD32165TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Medical Associates, PLLC CurrentSince Jan 1, 2017 Accepting new patients
Crossville Medical Group PA Past Accepting new patients

Locations

57 W Adams St
Crossville, TN 38555
Phone (931) 250-5433

88 Taylor Ave
Crossville, TN 38555
Phone (931) 250-5433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1558372862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-250-5433",
            "fax_number": "931-250-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W ADAMS ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554836",
            "telephone_number": "931-250-5433",
            "fax_number": "931-250-5434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lantana Road",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385551903",
            "country_code": "US",
            "telephone_number": "931-484-5141 x5411",
            "fax_number": "931-484-5620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JOANNA",
        "middle_name": "CHER",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD32165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110223950",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3861257",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4013840",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.