Individual provider Active NPI

Ashley Rebecca Gibbs, AGACNP

  • Nurse Practitioner
  • Dawsonville, GA
National Provider Identifier
1801318035
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN230207 Issued in GA
Practice address
108 Prominence CT Ste 210
Dawsonville, GA 30534-6340
Phone
(770) 886-5184
NPI assigned
Jul 10, 2017
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN230207 GA Primary

Addresses

Primary practice location

108 Prominence CT Ste 210
Dawsonville, GA 30534-6340

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171207000926 GA Practitioner - Nurse Practitioner 2264799857 Reassigns benefits to 2 organizations
I20200414000076 MO Practitioner - Nurse Practitioner 2264799857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Heart Institute LLCGroup PAC ID 4183848062, 127 clinicians

Practice addresses (Care Compare)

200 S Enota Dr NE
Suite 100
Gainesville, GA 30501-3466
Phone (770) 534-2020

743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.46 of 100Reported as group
Quality
85.33
Promoting interoperability
100
Improvement activities
40
Cost
76.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN230207GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Georgia Heart Institute LLC CurrentSince Nov 3, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Northeast Georgia Heart Center Current Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Sep 1, 2020 Accepting new patients
Gwinnett Medical Group, Inc Past Accepting new patients
Gastroenterology Associates of Gainesville, P. C. PastSince Nov 3, 2023 Accepting new patients

Locations

108 Prominence Ct
Ste 210
Dawsonville, GA 30534
Phone (770) 886-5184

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

200 S Enota Dr NE
Ste 100
Gainesville, GA 30501
Phone (770) 219-0950

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1432 Southwest Blvd
Jefferson Cty, MO 65109
Phone (573) 632-5560

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10038297

Organizations & group practices 7

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 3

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1801318035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PROMINENCE CT STE 210",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346340",
            "telephone_number": "770-886-5184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-3273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "ASHLEY",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN230207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

Verify at the official NPI Registry.