DR. KATHLEEN K GIBBONS (NPI# 1306865951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306865951 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN K GIBBONS |
| Credential | MD |
| Practice Address |
6131 S Norcross Tucker Rd Ste 700 Norcross GA 30093-5536 |
| Mailing Address |
5019 Kendall Sta Nw Acworth GA 30102-7962 |
| Practice Telephone | 6782051959 |
| Practice Fax Number | 6782052092 |
| Mailing Telephone | 7709744314 |
| Mailing Fax Number | 6784219702 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 026530 | GA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 26530 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000639834Z | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215335773 | Kathleen Gibbons | Social Worker | 1601 Pennsylvania St Ne, #b-8, Albuquerque, NM 87110-5546 | 2014-12-16 |
| 1932265014 | Kathleen Gibbons | Acupuncturist | 334 Berlin Rd, Bolton, MA 01740-1322 | 2006-12-31 |
| 1174524235 | Kathleen E Gibbons | Nurse Anesthetist, Certified Registered | 15345 Bagley Rd, Middleburg Heights, OH 44130-4825 | 2005-08-10 |
| 1407496136 | Kathleen Gibbons | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715-6008 | 2020-01-10 |
| 1912420241 | Kathleen R Gibbons | Student in an Organized Health Care Education/Training Program | 27100 Chardon Rd, Cleveland, OH 44143-1116 | 2017-07-19 |
| 1710382122 | Kathleen Gibbons | Social Worker | 160 N Main Ave, Albany, NY 12206-1821 | 2014-10-28 |
| 1669876678 | Kathleen R Gibbons | Physician Assistant | 10701 New Georges Creek Rd Sw, Frostburg, MD 21532-1457 | 2014-10-20 |
| 1346433729 | Kathleen Gibbons | Licensed Practical Nurse | 100 High St, Buffalo, NY 14203-1126 | 2007-08-20 |
| 1871614529 | Kathleen Mary Gibbons | Anesthesiology | 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, MI 48109-5048 | 2007-04-02 |
| Street Address |
6131 S NORCROSS TUCKER RD STE 700 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30093-5536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003856519 | Publix Super Markets Inc | Pharmacy | 6131 S Norcross Tucker Rd, Norcross, GA 30093-5536 | 2006-06-07 |
| 1831554351 | Beverly Beck | Nurse Practitioner | 6131 S Norcross Tucker Rd, Norcross, GA 30093-5536 | 2015-12-29 |
| 1548641681 | Advance Pain Management LLC. | Pain Medicine | 6131 S Norcross Tucker Rd, Suite 700, Norcross, GA 30093-5536 | 2015-06-15 |
| 1609138999 | Rika Medical Clinic, LLC. | Pediatrics | 6131 S Norcross Tucker Rd, Suite E600, Norcross, GA 30093-5536 | 2012-06-12 |
| 1528237492 | Rika Medical Clinic | Family Medicine | 6131 S Norcross Tucker Rd, Suite 6, Norcross, GA 30093-5536 | 2008-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
| 1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
| 1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
| 1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
| 1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
| 1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
| 1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
| 1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
| Find all providers in zip 30093 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710715 | Norcross Pediatrics and Adolescent Medicine, Inc | Pediatrics | 1235 Indian Trail Rd, Suite 106, Norcross, GA 30093-4502 | 2012-04-24 |
| 1821323072 | Macky Enterprises PC | Pediatrics | 5380 Peachtree Industrial Blvd, 140, Norcross, GA 30071-4713 | 2009-10-06 |
| 1497933139 | Raymond Chihta Ho | Pediatrics | 5696 Peachtree Pkwy Ste K1, Norcross, GA 30092-2835 | 2008-02-05 |
| 1558587659 | Kamela Momin | Pediatrics | 1235 Indian Trail Rd Ste 100, Norcross, GA 30093-4502 | 2007-04-17 |
| 1568516615 | Norcross Pediatric Clinic Inc | Pediatrics | 4608 Jimmy Carter Blvd Ste 7, Norcross, GA 30093-3758 | 2007-01-23 |
| 1427131168 | Daniel Charles Tarquinio | Pediatrics | 5600 Oakbrook Pkwy Ste 120, Norcross, GA 30093-1843 | 2006-10-24 |
| 1508960881 | Neha N Soni | Pediatrics | 5139 Jimmy Carter Blvd Ste 205, Norcross, GA 30093-1638 | 2006-09-08 |
| 1447295431 | Alan G Weintraub | Pediatrics | 5635 Peachtree Parkway, Ste 120, Norcross, GA 30092 | 2006-06-17 |
| 1912957952 | Maribel R Woodward | Pediatrics | 5151 Brook Hollow Pkwy, Suite 145, Norcross, GA 30071-3664 | 2006-05-11 |
| 1902862535 | Lizhen Wang | Pediatrics | 510 Beaver Ruin Road, Suite B, Norcross, GA 30071 | 2006-04-22 |
| Find all providers in NORCROSS | ||||
Please comment or provide details below to improve the information on DR. KATHLEEN K GIBBONS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.