Peggy A Gibson, CRNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

LPSP.33-10533 Issued in AL

Practice address

16 Medical Center Drive
Monroeville, AL 36460-3098

Phone

(251) 575-3266

Fax

(251) 575-3262

NPI assigned

Jul 18, 2012

Last updated

Dec 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Escambia County Alabama Community Hospitals, IncGroup PAC ID 4385616119, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atmore Community Hospital Hospital, Atmore, AL, CCN 010169

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Escambia County Alabama Community Hospitals, Inc.

  dba Atmore Urgent Care

  • Family Medicine Physician
  • Atmore, AL
  • NPI 1982843314
  Medicare reassignment Care Compare group NPD
• City of Jackson Healthcare Authority

  • Rural Acute Care Hospital
  • Jackson, AL
  • NPI 1952427874
  Medicare reassignment NPD
• Escambia County Alabama Community Hospitals, Inc.

  dba Ach Primary Care

  • Rural Health Clinic/Center
  • Atmore, AL
  • NPI 1659510931

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Escambia County Alabama Community Hospitals, Inc

  dba Atmore Community Hospital

  • Rural Acute Care Hospital
  • Atmore, AL
  • NPI 1124073879
  Care Compare affiliation

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1720333446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 886",
            "address_2": "2016 SOUTH ALABAMA AVENUE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364613098",
            "telephone_number": "251-575-3266",
            "fax_number": "251-575-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DRIVE",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603098",
            "telephone_number": "251-575-3266",
            "fax_number": "251-575-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PEGGY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-087612",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "LPSP.33-10533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Gearhart, DMD
• Gericare Medical Supply Inc
• Pamala J. Gibbs, M.D.
• Allison Gibson
• Bobby Gibson Jr., M.S.
• Victoria Powell Gibson, FNP
• Versie Renee Griffin, LICSW
• Gulf Coast Health & Wellness, LLC
• Reagan Wild Hanks
• Jalyn Elizabeth Harrison

• Family Medicine Physician in Monroeville, AL
• Providers in Monroeville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.