Edward Gibson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1321 McGehee St
Reidsville, NC 27320-5620

Phone

(336) 392-4668

NPI assigned

Apr 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Primary Psychology of Central Florida, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Cloud, FL
  • NPI 1891131637
  Medicare reassignment NPD

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1871912923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 MCGEHEE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205620",
            "telephone_number": "336-392-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 MCGEHEE ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205620",
            "telephone_number": "336-392-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Louis Gallagher, MD
• Darlene Galloway
• Shonta L Gandy, CADC
• Kelly Jean Gannaway, LCMHC
• Dustin Luke Gantos, LPCA
• John C Golding, M.D.
• Luis Gustavo Gonzalez, MD
• Anne F Goodes, LPT
• Miriam Leora Gorgboyee, LCAS-A, LPC-A
• Nikia Gorham

• Mental Health Counselor in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.