Individual provider Active NPI

John Gibson, M.D.

  • Family Medicine Physician
  • Hernando, FL
National Provider Identifier
1801808589
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME166736 Issued in FL
Practice address
1585 W Wolfeboro CT
Hernando, FL 34442-6448
Phone
(979) 571-0811
NPI assigned
Aug 12, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME166736 FL Primary

Addresses

Primary practice location

1585 W Wolfeboro CT
Hernando, FL 34442-6448

Mailing address

1585 W Wolfeboro CT
Hernando, FL 34442-6448
Phone (979) 571-0811

Other practice location 1

21075 W Highway 40
Dunnellon, FL 34431-6319
Phone (352) 489-2730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001486 TX Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 5991776452 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME166736FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
University of North Texas Health Science Center at Fort Worth Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients

Locations

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1801808589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 W WOLFEBORO CT",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344426448",
            "telephone_number": "979-571-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 W WOLFEBORO CT",
            "city": "HERNANDO",
            "state": "FL",
            "postal_code": "344426448",
            "telephone_number": "979-571-0811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21075 W Highway 40",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344316319",
            "country_code": "US",
            "telephone_number": "352-489-2730",
            "fax_number": "352-465-8505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME166736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, FL

Sources for this page

Verify at the official NPI Registry.