James Edward Gibbs, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G5090 Issued in TX

Practice address

Student Medical Services
2620 Russell Long Blvd.
Canyon, TX 79016-0001

Phone

(806) 651-3287

Fax

(806) 651-3289

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• Amarillo Emergency Physicians LLP

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1265473912
  NPD (past)
• Emergency Physicians of Park Hudson PLLC

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1447447230
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1992869929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 RUSSELL LONG BLVD",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-3287",
            "fax_number": "806-651-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STUDENT MEDICAL SERVICES",
            "address_2": "2620 RUSSELL LONG BLVD.",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790160001",
            "telephone_number": "806-651-3287",
            "fax_number": "806-651-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "JAMES",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Frye, DR.
• Full Smile Dental Dumas, PLLC
• Sally Lynn Gaines, MSN, RN
• Janet Garcia, EDD, LPC
• Carson Gerber, MA, LPC
• Cassie Goen, MS, CCC-SLP
• Lauretta Beatrice Gordzelik, PHARM. D.
• Sean E Green, PA-C
• Jennifer Gregg
• Kyndle Leah Groves Wienecke, M.S., CF-SLP

• Family Medicine Physician in Canyon, TX
• Providers in Canyon, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.