Individual provider Active NPI

Jeffrey Brooks Gibson, MD

  • Surgery Physician
  • Nashville, TN
National Provider Identifier
1982606943
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
30960 Issued in TN
Practice address
4230 Harding Pike Ste 530
Nashville, TN 37205-2094
Phone
(615) 329-7878
Fax
(615) 329-7899
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD30960 TN
Surgery Physician 208600000X 30960 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 530
Nashville, TN 37205-2094

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 329-7878

Other practice location 1

647 Dunlop Ln Ste 116
Clarksville, TN 37040-5165
Phone (615) 329-7878

Other practice location 2

4230 Harding Pike Ste 450
Nashville, TN 37205-6048
Phone (615) 329-7878

Other practice location 3

4230 Harding Pike Ste 450
Nashville, TN 37205-6048
Phone (615) 329-7878

Other identifiers 4

IdentifierTypeStateIssuer
3881790MedicaidTN
4061335OtherTNBCBS OF TN
143172OtherTNUNISON TENNCARE
26144OtherTNTLC TENNCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JEFFREY.GIBSON@hca1.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20100325000032 TN Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 9739284837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac SurgeryAlso: Thoracic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tristar Cardiovascular Surgery LLCGroup PAC ID 3476710765, 13 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 307
Nashville, TN 37203-6532
Phone (615) 342-6900

Hospital & facility affiliations

  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Saint Thomas Rutherford Hospital Hospital, Murfreesboro, TN, CCN 440053

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
90.29
Promoting interoperability
100
Improvement activities
40
Cost
74.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30960TNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Cardiovascular Surgery LLC CurrentSince Mar 1, 2019 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients
Centennial Heart LLC PastSince Mar 1, 2019 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Ste 307
Nashville, TN 37203
Phone (615) 333-0851

2400 Patterson St
Ste 320
Nashville, TN 37203
Phone (615) 342-6840

Interoperability endpoints

  • Direct secure messaging: jeffrey.gibson@hca1.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1982606943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 530",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052094",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "647 Dunlop Ln Ste 116",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370405165",
            "country_code": "US",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4230 Harding Pike Ste 450",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372056048",
            "country_code": "US",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4230 Harding Pike Ste 450",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372056048",
            "country_code": "US",
            "telephone_number": "615-329-7878",
            "fax_number": "615-329-7899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "JEFFREY",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TN",
            "license": "MD30960",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "30960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3881790",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4061335",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON TENNCARE",
            "identifier": "143172",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TLC TENNCARE",
            "identifier": "26144",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JEFFREY.GIBSON@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4230 Harding Pike Ste 450",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372056048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.