Organization Active NPI

Gibbens Family Medical LLC

  • Family Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1780160119
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GIBBENS FAMILY MEDICAL LLC
Practice address
2338 State Ave
Panama City, FL 32405-4361
Phone
(850) 640-0663
Fax
(850) 889-1510
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Brittany Gibbens, ARNP-CNPI 1891126942
Title
Manager
Phone
(850) 640-0663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2338 State Ave
Panama City, FL 32405-4361

Mailing address

2428 Jenks Ave Unit a
Panama City, FL 32405-4304
Phone (850) 640-0663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190417001423 FL Part B Supplier - Clinic/Group Practice 8325389422 Receives reassigned benefits from 5 practitioners
Practice locations: Panama City, FL

National Provider Directory

National Provider Directory

Locations

2428 Jenks Ave
Unit A
Panama City, FL 32405
Phone (850) 640-0663

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1780160119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 JENKS AVE UNIT A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054304",
            "telephone_number": "850-640-0663",
            "fax_number": "850-889-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 STATE AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054361",
            "telephone_number": "850-640-0663",
            "fax_number": "850-889-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBBENS FAMILY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "GIBBENS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-640-0663",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.