Individual provider Active NPI

Janice Lynn Gibson-Neale, M.D.

  • Obstetrics & Gynecology Physician
  • Richmond, VA
National Provider Identifier
1659489474
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101040790 Issued in VA
Practice address
101 Cowardin Ave
Suite 208
Richmond, VA 23224-2078
Phone
(804) 231-9691
Fax
(804) 231-2241
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101040790 VA Primary

Addresses

Primary practice location

101 Cowardin Ave
Suite 208
Richmond, VA 23224-2078

Mailing address

101 Cowardin Ave
Suite 208
Richmond, VA 23224-2078
Phone (804) 231-9691

Other identifiers 7

IdentifierTypeStateIssuer
044783OtherVAANTHEM BC/BS ID#
537948OtherVAAETNA PROVIDER #
006296513MedicaidVA
160024059QOtherVARAILROAD MEDICARE ID#
541467765OtherVATAX ID #
40188OtherVAVIRGINIA PREMIER ID#
48288OtherVAOPTIMA SENTARA ID #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JANICE.GIBSON-NEALE@hca6.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908001075 VA Practitioner - Obstetrics/Gynecology 9931224359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Randolph OB/GYN, LLCGroup PAC ID 3577580539, 5 clinicians

Practice addresses (Care Compare)

12220 Iron Bridge Rd a
Chester, VA 23831-1543
Phone (804) 706-5827

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

7157 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 228-6559

7159 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 267-6931

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Henrico Doctors' Hospital Hospital, Richmond, VA, CCN 490118

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John Randolph OB/GYN, LLC Obstetrics & Gynecology CurrentSince Sep 1, 2010 Accepting new patients
Retreat Cardiology LLC Past Accepting new patients
Complete Care Center for Women, LLC Past Accepting new patients
Central VA OB GYN Associates Obstetrics & Gynecology Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12220 Iron Bridge Rd
Ste A
Chester, VA 23831
Phone (804) 706-5827

7101 Jahnke Rd
Ste 1054
Richmond, VA 23225
Phone (804) 231-9691

7159 Jahnke Rd
Richmond, VA 23225
Phone (804) 267-6931

101 Cowardin Ave
Ste 208
Richmond, VA 23224
Phone (804) 231-9691

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/610/brand/3/csg/45/fhir/r4
  • Direct secure messaging: janice.gibson-neale@hca6.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1659489474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-231-9691",
            "fax_number": "804-231-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COWARDIN AVE",
            "address_2": "SUITE 208",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242078",
            "telephone_number": "804-231-9691",
            "fax_number": "804-231-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON-NEALE",
        "first_name": "JANICE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101040790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS ID#",
            "identifier": "044783",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "537948",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006296513",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID#",
            "identifier": "160024059Q",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "541467765",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER ID#",
            "identifier": "40188",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA SENTARA ID #",
            "identifier": "48288",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JANICE.GIBSON-NEALE@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "101 Cowardin Ave",
            "address_2": "SUITE 208",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232242078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.