Active NPI
Mark Allen Gibson, MD
- Cardiovascular Disease Physician
- Blairsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 075625
- Practice address
- 191 Deep South Farm Rd
Blairsville, GA 30512-2220 - Phone
- (706) 439-6380
- Fax
- (706) 439-6398
- NPI assigned
- Jun 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 075625 | GA | Primary |
Addresses
Primary practice location
191 Deep South Farm Rd
Blairsville, GA 30512-2220
Mailing address
191 Deep South Farm Rd
Blairsville, GA 30512-2220
Phone (706) 439-6380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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 |
|---|---|---|---|---|
| I20160628000411 | GA | Practitioner - Cardiovascular Disease (Cardiology) | 5698772127 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of South Carolina School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Cardiology of Atlanta, LLC
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
191 Deep S Farm Rd
Blairsville, GA 30512-2220
Phone (706) 439-6380
95 Collier NWRD
Atlanta, GA 30309-1796
Phone (404) 605-5000
95 Collier Rd NW
Suite 6000
Atlanta, GA 30309-1796
Phone (404) 605-2888
Hospital & facility affiliations
- Union General Hospital
- Northside Hospital
- Erlanger Murphy Medical Center
- Northeast Georgia Medical Center, Inc
- Piedmont Mountainside Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075625 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union County Hospital Authority | Current | Accepting new patients | |
| Piedmont Cardiology of Atlanta, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Union County Hospital Authority | Current | Accepting new patients | |
| Wendy L Smith M.D. PC | Past | Accepting new patients | |
| Heart Group PLLC | Cardiovascular Disease | Past | Accepting new patients |
| Union County Hospital Authority | Past | Accepting new patients | |
| Piedmont Professional Services, LLC | Cardiovascular Disease | Past | Accepting new patients |
Locations
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
191 Deep South Farm Rd
Blairsville, GA 30512
Phone (706) 439-6380
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
19 Doctors Way
Ste C
Blairsville, GA 30512
Phone (706) 439-6380
15 Reinhardt College Pkwy
Ste 110A
Canton, GA 30114
Phone (770) 720-2383
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
220 J L White Dr
Ste 100
Jasper, GA 30143
Phone (706) 253-8001
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
Cardiovascular Disease, GA
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
Cardiovascular Disease, GA
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1669923744
-
- Rural Health Clinic/Center
- Hiawassee, GA
- NPI 1427384353
-
- Otolaryngology Physician
- Blairsville, GA
- NPI 1184880338
-
- Cardiovascular Disease Physician
- Nashville, TN
- NPI 1861442592
Cardiovascular Disease
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1992744155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 DEEP SOUTH FARM RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122220",
"telephone_number": "706-439-6380",
"fax_number": "706-439-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 DEEP SOUTH FARM RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305122220",
"telephone_number": "706-439-6380",
"fax_number": "706-439-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "075625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.