Jennifer Dokupil Gibbs, MSN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

233060 Issued in GA

Practice address

7566 Nashville St
Ringgold, GA 30736-2361

Phone

(706) 935-3600

Fax

(706) 935-3900

NPI assigned

Aug 4, 2013

Last updated

Aug 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• National Family Medical Associates of Georgia, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1396527321
  Medicare reassignment NPD
• Weaver Health Services, LLC

  dba Ringgold Ready Clinic

  • Family Medicine Physician
  • Ringgold, GA
  • NPI 1265895916
  Medicare reassignment NPD
• National Family Medical Associates, LLC

  dba VIPcare

  • Primary Care Clinic/Center
  • Tulsa, OK
  • NPI 1477287720

  GA

  Medicare reassignment NPD
• Southeastern Emergency Services of Memphis, P.C.

  • Emergency Medicine Physician
  • Chattanooga, TN
  • NPI 1164454450
  Medicare reassignment NPD
• Urgent Care for Children, PLLC

  • Pediatrics Physician
  • Hixson, TN
  • NPI 1205434420
  Medicare reassignment NPD
• Ringgold Pediatric Clinic, P.C.

  • Pediatrics Physician
  • Ringgold, GA
  • NPI 1366400533
  NPD (past)
• Children's Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438
  NPD (past)

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

{
    "created_epoch": "1375574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1902238769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 NASHVILLE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362361",
            "telephone_number": "706-935-3600",
            "fax_number": "706-935-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JENNIFER",
        "middle_name": "DOKUPIL",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-04",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "233060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00313715A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy LLC (CVS Pharmacy 07745)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 07885)
• Georgia Pain and Wellness Center (Summit Spine & Joint Centers)
• Georgia Pain Physicians PC
• Marlene Geren
• Jennifer Gibson
• Patricia Louise Gibson, FNP-BC
• Emily Megan Giles, LPN
• George Thomas Gilmore, MD
• Gloria Lee

• Family Nurse Practitioner in Ringgold, GA
• Providers in Ringgold, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.