Daniel John Gibbs, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT001465 Issued in GA

Practice address

University Athletics
1400 Coleman Ave
Macon, GA 31207-0001

Phone

(478) 301-2371

Fax

(478) 301-2039

NPI assigned

Dec 11, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mercer University School of Medicine

  • Student in an Organized Health Care Education/Training Program
  • Macon, GA
  • NPI 1659705986
  NPD (past)

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1760665913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY ATHLETICS",
            "address_2": "1400 COLEMAN AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312070001",
            "telephone_number": "478-301-2371",
            "fax_number": "478-301-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY ATHLETICS",
            "address_2": "1400 COLEMAN AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312070001",
            "telephone_number": "478-301-2371",
            "fax_number": "478-301-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT001465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tewodros Melkamu Getu, MD
• Tarun Kumar Ghosh, M.D.
• GHS Services, LLC (Gastro South Endoscopy Center)
• Tiffany Ann Gibbert, PA-C
• Vincent A Gibbert, M.D.
• Jennifer Nicole Gibbs, NP-C
• Kathryn Gibbs, DPT
• Christie Huskey Gibson, PA-AC
• Haley Nicole Gibson, PT,DPT
• Larry Elisha Gibson, D.C.

• Athletic Trainer in Macon, GA
• Providers in Macon, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.