NPIMap

Individual provider Active NPI

Danielle Gibson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, TN
National Provider Identifier
1831135896
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD36402 Issued in TN
Practice address
1602 Hatcher Lane
Columbia, TN 38401
Phone
(931) 490-1000
Fax
(931) 388-1548
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Alabama College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shelby County Health Care Corporation 35 clinicians

Practice addresses (Care Compare)

877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-7100

Hospital & facility affiliations

  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027
  • Regional One Health Hospital, Memphis, TN, CCN 440152

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

Merit-based Incentive Payment System (MIPS)

Final score
85.2 of 100Reported as group
Quality
70.4
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20110426000179 TN Practitioner - Pathology 8123179058 Reassigns benefits to 4 organizations
I20190419000063 IL Practitioner - Pathology 8123179058 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36402TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Jun 1, 2024 Accepting new patients
Moline Anesthesia PLLC CurrentSince Mar 1, 2019 Accepting new patients
Urology Group PC CurrentSince Apr 1, 2025 Accepting new patients
Urology Group, PC CurrentSince Apr 1, 2025 Accepting new patients
Edmunds Gastroenterology, PLLC CurrentSince Feb 1, 2023 Accepting new patients
Urology Group PC Current Accepting new patients
Ferrell, Olson, Pearson & Bramlett Past Accepting new patients
Gi for Kids, PLLC Past Accepting new patients

Locations

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

7550 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 542-6800

4713 Papermill Dr
Ste 100
Knoxville, TN 37909
Phone (865) 851-7771

4713 Papermill Dr
Knoxville, TN 37909
Phone (865) 696-2906

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

401 Commerce St
Ste 600
Nashville, TN 37219
Phone (615) 345-6900

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD36402 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1602 Hatcher Lane
Columbia, TN 38401

Mailing address

1602 Hatcher Lane
Columbia, TN 38401
Phone (931) 388-0777

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
200149150MedicaidIN
4054110OtherBLUE CARE/TN CARE
3403473MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2011.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1831135896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 HATCHER LANE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-388-0777",
            "fax_number": "931-388-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 HATCHER LANE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-490-1000",
            "fax_number": "931-388-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "DANIELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD36402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200149150",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE/TN CARE",
            "identifier": "4054110",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3403473",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.