Individual provider Active NPI

Barbara Lillian Gibson, FNP

  • Family Nurse Practitioner
  • Rome, GA
National Provider Identifier
1831379940
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN073501 Issued in GA
Practice address
80 Redmond Rd NW
Rome, GA 30165-1534
Phone
(706) 290-8009
Fax
(706) 236-1902
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN073501 GA Primary
Family Nurse Practitioner 363LF0000X RN073501NP GA

Addresses

Primary practice location

80 Redmond Rd NW
Rome, GA 30165-1534

Mailing address

80 Redmond Rd NW
Rome, GA 30165-1534
Phone (706) 290-8009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgibson1192589@carolinasHealthcareSystem.direct-ci.com FLOYD HEALTHCARE MANAGEMENT INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN073501NPGAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: bgibson1192589@carolinashealthcaresystem.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1831379940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651534",
            "telephone_number": "706-290-8009",
            "fax_number": "706-236-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651534",
            "telephone_number": "706-290-8009",
            "fax_number": "706-236-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "BARBARA",
        "middle_name": "LILLIAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN073501",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN073501NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgibson1192589@carolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "FLOYD HEALTHCARE MANAGEMENT INC",
            "address_1": "420 E 2nd Ave Ste 103",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301613210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.