NPIMap

Individual provider Active NPI

Peter Gibbs, DO

  • Family Medicine Physician
  • Lynchburg, VA
National Provider Identifier
1619105525
Registry record updated Nov 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116021727 Issued in VA
Practice address
1901 Thomson Dr
Lynchburg, VA 24501-1026
Phone
(434) 200-3908
NPI assigned
Jun 30, 2009
Last updated
Nov 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116021727 VA Primary

Addresses

Primary practice location

1901 Thomson Dr
Lynchburg, VA 24501-1026

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112
Phone (434) 200-3656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20120703000494 VA Practitioner - Family Practice 2264697903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.16 of 100Reported as apm
Quality
83.58
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116021727VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Health Professional Services, LLC Family Medicine CurrentSince Jul 16, 2012 Accepting new patients
Centra Medical Group, LLC Family Medicine CurrentSince Jul 16, 2012 Accepting new patients

Locations

1204 Fenwick Dr
Lynchburg, VA 24502
Phone (434) 200-3656

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

1901 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3908

2323 Memorial Ave
Ste 10
Lynchburg, VA 24501
Phone (434) 200-5200

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 7

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353628800000",
    "number": "1619105525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 FENWICK DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022112",
            "telephone_number": "434-200-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 THOMSON DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011026",
            "telephone_number": "434-200-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116021727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.