Active NPI
Jeffrey Brooks Gibson, MD
- Surgery Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 30960
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3881790 | Medicaid | TN | |
| 4061335 | Other | TN | BCBS OF TN |
| 143172 | Other | TN | UNISON TENNCARE |
| 26144 | Other | TN | TLC TENNCARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100325000032 | TN | Practitioner - Cardiac Surgery | 9739284837 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac 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 LLC
Practice addresses (Care Compare)
2400 Patterson St
Suite 307
Nashville, TN 37203-6532
Phone (615) 342-6900
Hospital & facility affiliations
- Tristar Centennial Medical Center
- Vanderbilt Clarksville Hospital
- Saint Thomas Rutherford Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.33 of 100
- Quality
- 90.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.16
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD30960 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tristar Cardiovascular Surgery LLC | Current | Accepting new patients | |
| HCA Health Services of Tennessee, Inc. | Past | Accepting new patients | |
| Centennial Heart LLC | Past | 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
- 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.
-
- Specialist
- Nashville, TN
- NPI 1245393057
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
Hospital
-
- General Acute Care Hospital
- Murfreesboro, TN
- NPI 1164590386
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.