Stacy Elaine Gibson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E-9548 Issued in AR

Practice address

1016 McQuay Ave
Pocahontas, AR 72455-2407

Phone

(870) 892-9949

NPI assigned

Apr 16, 2013

Sex

Female

Sole proprietor

No

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 AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arkansas College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

1St Choice Healthcare IncGroup PAC ID 0648184218, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawrence Memorial Hospital Hospital, Walnut Ridge, AR, CCN 041309
• St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
• St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.gibson@1st.eclinicaldirectplus.com

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.

• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Corning, AR
  • NPI 1942256508
  Medicare reassignment Care Compare group NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, AR
  • NPI 1912431818
  NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Highland, AR
  • NPI 1962824672
  NPD
• 1St Choice Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Walnut Ridge, AR
  • NPI 1598711152
  NPD (past)

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

• Five Rivers Medical Center Inc.

  • General Acute Care Hospital
  • Pocahontas, AR
  • NPI 1528360989
  Care Compare affiliation
• Lawrence Memorial Health Foundation Inc.

  • Critical Access Hospital
  • Walnut Ridge, AR
  • NPI 1194724658
  Care Compare affiliation
• St Bernards Hospital Inc

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1922043686
  Care Compare affiliation

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1902249279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724220083",
            "telephone_number": "870-857-3334",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 MCQUAY AVE",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724552407",
            "telephone_number": "870-892-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "STACY",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-9548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Mark Futrell, P.D.
• William Eric Futrell, OD
• Shonna Loerna Gamso, QBHP
• Lauren Garner, APRN
• Tracy Gholson, RN
• Kirsten Nichole Godwin
• Melanie F Golliver, APRN
• Breanna Gosha
• Jennifer Marie Gray, APN
• Callye Green, CCC-SLP

• Family Medicine Physician in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.