Sandra H. Gibbs, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

030192 Issued in GA

Legal business name

SANDRA H. GIBBS, M.D.

Practice address

145 E Peacock St
Suite #3
Cochran, GA 31014-7846

Phone

(478) 934-9714

Fax

(478) 934-9716

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sandra H. Gibbs, M.D.

Title

Provides

Phone

(478) 934-9714

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1891969291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310140497",
            "telephone_number": "478-934-9714",
            "fax_number": "478-934-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E PEACOCK ST",
            "address_2": "SUITE #3",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310147846",
            "telephone_number": "478-934-9714",
            "fax_number": "478-934-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA H. GIBBS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PROVIDES",
        "authorized_official_telephone_number": "478-934-9714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "030192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00449743S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Cochran, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.