Alexis Marie Gibson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017710 Issued in NC

Practice address

171 Fairview Rd
Mooresville, NC 28117-9500

Phone

(704) 660-4000

NPI assigned

Nov 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492

  NC

  Medicare reassignment Care Compare group NPD
• Novant Health Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Thomasville, NC
  • NPI 1235715582
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Clemmons, NC
  • NPI 1295110906
  Care Compare group
• Novant Health Medical Group, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Kernersville, NC
  • NPI 1386029254
  Care Compare group
• Novant Health Medical Group, LLC

  • Primary Podiatric Medicine Podiatrist
  • Winston Salem, NC
  • NPI 1427398023
  Care Compare group
• Novant Health Medical Group, LLC

  • Neurological Surgery Physician
  • Winston Salem, NC
  • NPI 1497080006
  Care Compare group
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1659571768
  Care Compare group
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1750534038
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Winston Salem, NC
  • NPI 1851776728
  Care Compare group
• Novant Health Medical Group, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1891764320
  Care Compare group
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Indian Land, SC
  • NPI 1245335421
  Care Compare group

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1720802457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 MITCHELL AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773842",
            "telephone_number": "704-402-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 FAIRVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179500",
            "telephone_number": "704-660-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "ALEXIS",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gharavizadeh PC
• Gharavizadeh PC
• Leslie Rice Giambrone, MED, CCC-SLP
• Kelly Lynn Gianopoulos, OTR L
• Kelsey Danielle Gibbons, FNP-C
• Alyson Gibson, LCSW-A
• Morgan Rhianne Gibson
• John Neely Gilbert IV, PT, DPT
• Lawrence D Gillespie, LCSW
• Maegan Lyn Gillooly, MOT, OTR/L

• All providers in Mooresville, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.