Persephone Hannah Gibson

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0704017698 Issued in VA

Practice address

1200 Coldwater Rd NW
Dewy Rose, GA 30634-2511

Phone

(540) 305-9343

NPI assigned

May 15, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2025.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1861283293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 COLDWATER RD NW",
            "city": "DEWY ROSE",
            "state": "GA",
            "postal_code": "306342511",
            "telephone_number": "540-305-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 COLDWATER RD NW",
            "city": "DEWY ROSE",
            "state": "GA",
            "postal_code": "306342511",
            "telephone_number": "540-305-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "PERSEPHONE",
        "middle_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704017698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Eugene Gates, TDH
• Lexxicharm LLC
• Ashlyn Loudermilk
• Hunter Martin
• Andy Turner

• All providers in Dewy Rose, GA
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.