NPIMap

Individual provider Active NPI

Gregory Lee Gibson, D.O.

  • Internal Medicine Physician
  • Dothan, AL
National Provider Identifier
1891015574
Registry record updated Apr 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1265 Issued in AL
Practice address
1901 Melba Dr
Dothan, AL 36301-3017
Phone
(334) 794-6611
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 1265 AL Primary

Addresses

Primary practice location

1901 Melba Dr
Dothan, AL 36301-3017

Mailing address

1901 Melba Dr
Dothan, AL 36301-3017
Phone (941) 920-3244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120619000391 AL Practitioner - Internal Medicine 8325202559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine and Pediatric ConsultantsGroup PAC ID 3870980204, 5 clinicians
Houston County Healthcare AuthorityGroup PAC ID 9436062296, 256 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
FL 4
Dothan, AL 36301-3022
Phone (334) 796-9784

1806 Fairview Ave
Dothan, AL 36301-3026
Phone (334) 796-8963

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Dothan, AL, CCN 017159
  • Southeast Alabama Homecare Home health agency, Dothan, AL, CCN 017024
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Noland Hospital Dothan II, LLC Long-term care hospital, Dothan, AL, CCN 012010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1265ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine & Pediatric Consultants Internal Medicine CurrentSince Mar 10, 2024 Accepting new patients
Infusion Centers of the Southeast LLC Internal Medicine CurrentSince Feb 10, 2025 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Southeast Alabama Medical Center Employee Pharmacy Past Accepting new patients

Locations

125 W Main St
Ste 1
Dothan, AL 36301

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

1806 Fairview Ave
Dothan, AL 36301
Phone (334) 677-5986

1003 Haven Dr
Dothan, AL 36301
Phone (334) 276-3214

1108 Ross Clark Cir
Fl 4
Dothan, AL 36301
Phone (334) 669-4300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335657600000",
    "number": "1891015574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MELBA DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013017",
            "telephone_number": "941-920-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MELBA DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013017",
            "telephone_number": "334-794-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "GREGORY",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2012-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.