DR. GREGORY GIBSON (NPI# 1467489120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467489120 |
| Entity Type | Individual |
| Full Name | DR. GREGORY GIBSON |
| Credential | M.D. |
| Practice Address |
6555 Professional Pl Suite C Riverdale GA 30274-2519 |
| Practice Telephone | 7709965959 |
| Practice Fax Number | 7709911596 |
| Mailing Telephone | 7709965959 |
| Mailing Fax Number | 7709911596 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
040388 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000666333E | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827891 | Gregory James Gibson | Registered Nurse | 830 5th Ave Ste 201, Chambersburg, PA 17201-4224 | 2018-10-23 |
| 1831536747 | Gregory Thomas Gibson | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2013-05-31 |
| 1740534650 | Gregory W Gibson | Marriage & Family Therapist | 1151 W Robinhood Dr, Suite A8, Stockton, CA 95207-5625 | 2012-10-30 |
| 1891015574 | Gregory Lee Gibson | Internal Medicine | 1901 Melba Dr, Dothan, AL 36301-3017 | 2010-06-04 |
| 1386863330 | Gregory David Gibson | Counselor | 29520 Canvasback Dr, Easton, MD 21601-7124 | 2007-04-25 |
| 1548270630 | Gregory Alan Gibson | Internal Medicine | 300 Health Park Blvd, Suite 5008, Saint Augustine, FL 32086-3707 | 2006-08-09 |
| 1013940642 | Gregory Scott Gibson | Counselor | 2204 Brothers Rd, Suite B, Santa Fe, NM 87505-6975 | 2006-07-08 |
| 1184695918 | Gregory L Gibson | Family Medicine | 3941 Highway 9, Boiling Springs, SC 29316-8578 | 2006-01-30 |
| Street Address |
6555 PROFESSIONAL PL SUITE C |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053411207 | Isaac V Joseph | Internal Medicine | 6555 Professional Pl, Suite D, Riverdale, GA 30274-4903 | 2006-09-25 |
| 1861596967 | G.i.endoscopy Center | Clinic/Center | 6555 Professional Pl, Suite B, Riverdale, GA 30274-4903 | 2006-09-11 |
| 1942303276 | Michael Cheng | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-09-05 |
| 1699790741 | Jennifer W Stemberger | Nurse Practitioner | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-07-12 |
| 1003846635 | Jay R Prakash | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043726821 | Gi Endoscopy Practice LLC | Internal Medicine | 44 State Rt 23 Ste 7, Riverdale, NJ 07457-1603 | 2017-12-15 |
| 1740379866 | Ralph Cornell Lyons | Internal Medicine | 34 Upper Riverdale Rd, Suite 201, Riverdale, GA 30274-2635 | 2006-10-12 |
| 1568559425 | Hector H Lopez Jr. | Internal Medicine | 6564 Professional Pl, Suite B, Riverdale, GA 30274-2520 | 2006-10-10 |
| 1245290279 | David Michael Martin | Internal Medicine | 34 Upper Riverdale Road, Suite 201, Riverdale, GA 30274 | 2006-03-24 |
| 1497962724 | Bharat Dasani, Md | Internal Medicine | 51 Route 23 South, Riverdale, NJ 07457 | 2007-05-17 |
| 1821142514 | Ghulam Mohi-ud-din | Internal Medicine | 6510 Kenilworth Ave, Suite 2600, Riverdale, MD 20737-1339 | 2007-01-22 |
| 1851457741 | Atlanta Multi-specialty Associates, PC | Internal Medicine | 6564 Professional Pl, Suite B, Riverdale, GA 30274-2520 | 2006-12-28 |
| 1073698049 | Bharat Dasani | Internal Medicine | 44 Route 23 North, Suite 7, Riverdale, NJ 07457 | 2006-10-26 |
| 1942303276 | Michael Cheng | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-4903 | 2006-09-05 |
| 1003846635 | Jay R Prakash | Internal Medicine | 6555 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2006-07-03 |
| Find all providers in RIVERDALE | ||||
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| 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.