Individual provider Active NPI

Margaret Andrews Holland Gibson, PH.D

  • Psychologist
  • Birmingham, AL
National Provider Identifier
1831836196
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2280 Issued in AL
Practice address
601 Beacon Pkwy W Ste 201
Birmingham, AL 35209-3123
Phone
(205) 870-3520
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2280 AL Primary

Addresses

Primary practice location

601 Beacon Pkwy W Ste 201
Birmingham, AL 35209-3123

Mailing address

601 Beacon Pkwy W Ste 201
Birmingham, AL 35209-3123
Phone (205) 870-3520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823003389 AL Practitioner - Clinical Psychologist 5496138406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
North Carolina Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pitts Mental Health Associates IncGroup PAC ID 6103853445, 13 clinicians

Practice addresses (Care Compare)

601 Beacon Pkwy W
Suite 201
Birmingham, AL 35209-3123
Phone 20587035207811

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2280ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pitts Mental Health Associates, Inc. CurrentSince Aug 1, 2022 Accepting new patients

Locations

601 Beacon Pkwy W
Ste 201
Birmingham, AL 35209
Phone (205) 536-7811

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1831836196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BEACON PKWY W STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093123",
            "telephone_number": "205-870-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BEACON PKWY W STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093123",
            "telephone_number": "205-870-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARGARET",
        "middle_name": "ANDREWS HOLLAND",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2024-02-06",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "2280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.