Individual provider Active NPI

Kimberly Diane Gabriel, M.D.

  • Family Medicine Physician
  • Scottsboro, AL
National Provider Identifier
1699054700
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23959 Issued in MS
Practice address
505 Burlington St
Scottsboro, AL 35768-4216
Phone
(256) 259-4100
NPI assigned
Aug 7, 2011
Last updated
Jun 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35423 AL
Family Medicine Physician 207Q00000X 23959 MS Primary

Addresses

Primary practice location

505 Burlington St
Scottsboro, AL 35768-4216

Mailing address

505 Burlington St
Scottsboro, AL 35768-4216
Phone (256) 259-4100

Other practice location 1

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Other practice location 2

1520 Highland Colony Pkwy
Madison, MS 39110-7723
Phone (769) 289-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20190903000403 MS Practitioner - Family Practice 6507154242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Field Memorial Community HospitalGroup PAC ID 0547248544, shared by 7 NPIs, 41 clinicians
Quad Intermed Company LLCGroup PAC ID 6709245954, 42 clinicians

Practice addresses (Care Compare)

1410 Main E St
FMCH Liberty Clinic
Liberty, MS 39645-0514
Phone (601) 890-0538

1515 Jefferson St
Laurel, MS 39440-4244
Phone (601) 425-4893

178 Hwy 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35423ALMDFamily Medicine Physician
23959MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Field Memorial Community Hospital CurrentSince Aug 12, 2019 Accepting new patients
Quad Intermed Company LLC CurrentSince Aug 1, 2023 Accepting new patients
Field Memorial Community Hospital CurrentSince Aug 12, 2019 Accepting new patients
Field Memorial Community Hospital CurrentSince Aug 12, 2019 Accepting new patients
Field Memorial Community Hospital Family Medicine Current Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Field Memorial Community Hospital Current Accepting new patients
Field Memorial Community Hospital Family Medicine Current Accepting new patients
Quad Intermed Company LLC Current Accepting new patients
First Intermed Corporation Family Medicine Past Accepting new patients

Locations

178 Highway 24 E
Centreville, MS 39631
Phone (601) 645-5221

178 Highway 24 E
Ste B
Centreville, MS 39631
Phone (601) 835-0077

507 Lakeland Pl
Flowood, MS 39232
Phone (601) 992-2200

434 N Captain Gloster Dr
Gloster, MS 39638
Phone (601) 225-4711

1515 Jefferson St
Laurel, MS 39440
Phone (601) 425-4893

935 Highway 51
Madison, MS 39110
Phone (601) 856-5986

342 Gilchrist Dr
Pearl, MS 39208
Phone (601) 939-0700

308 Corporate Dr
Ridgeland, MS 39157
Phone (601) 898-7500

4204 Clay St
Vicksburg, MS 39183
Phone (601) 200-4560

4204 Clay St
#V
Vicksburg, MS 39183
Phone (601) 619-7717

451 Bank St
Woodville, MS 39669
Phone (601) 888-3421

Interoperability endpoints

  • Direct secure messaging: kimberly.gabriel.1@1773.direct.athenahealth.com

Organizations & group practices 11

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 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": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1699054700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BURLINGTON ST",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357684216",
            "telephone_number": "256-259-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Highway 24 E",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MS",
            "postal_code": "396314171",
            "country_code": "US",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Highland Colony Pkwy",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "MS",
            "postal_code": "391107723",
            "country_code": "US",
            "telephone_number": "769-289-6100",
            "fax_number": "678-519-2831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "35423",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "23959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsboro, AL

Sources for this page

Verify at the official NPI Registry.