Scottie Lamar Gibbs, CRNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

1-69652 Issued in AL

Practice address

200 Medical Center Dr
Gadsden, AL 35903-1150

Phone

(256) 494-4968

Fax

(256) 494-4245

NPI assigned

Sep 27, 2019

Sex

Male

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 AL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scion Cancer Care, LLCGroup PAC ID 2466811526, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Medicare enrollment (NPD)

Enrolled

Credentials

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 and National Provider Directory roles.

• Scion Cancer Care, LLC

  • Radiation Oncology Physician
  • Gadsden, AL
  • NPI 1609589563
  Medicare reassignment Care Compare group NPD

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

• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1982255279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1684",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356021684",
            "telephone_number": "256-494-4968",
            "fax_number": "256-494-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031150",
            "telephone_number": "256-494-4968",
            "fax_number": "256-494-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "SCOTTIE",
        "middle_name": "LAMAR",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-69652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Geiger
• George C. Stacey, Jr. D.M.D. Family Denistry P.C.
• George Gruver Optical
• Elias M Ghafary, M.D.
• Carol Ann Gibbs
• Lauren Marie Gibson, M.D.
• Jasmyn Lancaster Gilbert
• Amber Leigh Giles, LMT
• Elizabeth Ann Giles, PA
• Marian Suzanne Gilliland, M.D.

• Primary Care Nurse Practitioner in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Primary Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.