MATTHEW MACKINNON GIBBS (NPI# 1982186342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982186342 |
| Entity Type | Individual |
| Full Name | MATTHEW MACKINNON GIBBS |
| Practice Address |
211 Village Dr St Simons Is GA 31522 |
| Practice Telephone | 9125809811 |
| Mailing Telephone | 9125809811 |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2018-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356819700 | Matthew I Gibbs | Physical Therapist | 1704 Village Park Dr, Orangeburg, SC 29118-2401 | 2018-11-04 |
| 1497262836 | Matthew Wayne Gibbs | Pharmacist | 1301 W 38th St Ste 403, Austin, TX 78705-1013 | 2018-01-08 |
| 1316497324 | Matthew Gibbs | Developmental Therapist | 2110 E State Highway 36, Abilene, TX 79602-6504 | 2016-10-13 |
| 1568554756 | Matthew Paul Gibbs | Family Medicine | 12415 Bandera Rd, Ste 112, Helotes, TX 78023-4265 | 2006-09-28 |
| 1285263533 | Matthew Michael Gibbs | Student in an Organized Health Care Education/Training Program | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2020-04-07 |
| 1477088243 | Matthew Gibbs | Physician Assistant | 305 E Center Ave, Visalia, CA 93291-6331 | 2017-04-28 |
| 1275722449 | Matthew Taylor Gibbs | Dentist | 930 W Main St, Lewisville, TX 75067-3516 | 2007-10-23 |
| 1386694578 | Matthew Clair Gibbs | Chiropractor | 3655 Route 202, Suite 130, Doylestown, PA 18902-6601 | 2006-05-11 |
| Street Address |
211 VILLAGE DR |
| City | ST SIMONS IS |
| State | GA |
| Zip Code | 31522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770957433 | Jennifer Herrin, Lpc | Community/Behavioral Health | 400 Main Street, Cottage 1, Saint Simons Island, GA 31522 | 2015-11-18 |
| 1508113002 | Ashley Neal Callicutt | Counselor | 301 Sea Island Road, Suite G, St. Simons Island, GA 31522 | 2012-08-14 |
| 1235414103 | Dana D'andrea Duggan | Psychologist | 283 Redfern Village, St. Simons Island, GA 31522 | 2011-10-11 |
| 1528394848 | Nancy Hodges Bowen | Nurse Practitioner | 7000 Wellness Way, Suite 130, St. Simons Island, GA 31522 | 2009-10-21 |
| 1073763215 | John Arthur Hendry | Dentist | 511 Mallery Street, St. Simons Island, GA 31522 | 2008-09-24 |
| 1770775116 | Randolph M. Stevens | Dentist | Coastal Endodontic Associates, 1804 Frederica Rd., Ste B, St. Simons Island, GA 31522 | 2007-08-09 |
| 1689797383 | Angela C Barnard | Nurse Practitioner | 798 Mallery St Apt 2, Saint Simons Island, GA 31522 | 2007-04-09 |
| 1053493486 | Larry D. Daugherty | Dentist | 124 Island Professional Park, St Simons Island, GA 31522 | 2006-10-19 |
| 1134239460 | Joe Neil Garner | Dentist | 288 Redfern Village, St Simons Island, GA 31522 | 2006-08-30 |
| 1467464438 | Louis Anthony Barton | Psychiatry & Neurology | 2927 Demere Rd., St. Simons Island, GA 31522 | 2006-08-11 |
| Find all providers in zip 31522 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871008037 | Kaitlyn Teston | Student in an Organized Health Care Education/Training Program | 122 S Harbour Oaks Dr, St Simons Is, GA 31522-4027 | 2017-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508540 | Robert Owen Calvert IIi | Student in an Organized Health Care Education/Training Program | 10734 Bossier Dr, Johns Creek, GA 30022-7977 | 2020-11-02 |
| 1194323469 | Kathlynn Barber | Student in an Organized Health Care Education/Training Program | 248 Sunset Ridge Dr, Newnan, GA 30263-7704 | 2020-10-09 |
| 1063019917 | Shayla Robinson | Student in an Organized Health Care Education/Training Program | 1887 Hudson Xing Apt 9, Tucker, GA 30084-5661 | 2020-10-05 |
| 1639786460 | Clarissa Chamorro | Student in an Organized Health Care Education/Training Program | 840 Old Alabama Rd Sw, Mableton, GA 30126-4108 | 2020-09-25 |
| 1417563909 | Josephine Almanzar | Student in an Organized Health Care Education/Training Program | 199 Armour Dr Ne Ste E, Atlanta, GA 30324-3973 | 2020-09-20 |
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1487269338 | Nhu Ai Thi Vo | Student in an Organized Health Care Education/Training Program | 5295 Locomotive Ln, Norcross, GA 30071-2751 | 2020-09-08 |
| 1669087516 | Nurin Ghazzawi | Student in an Organized Health Care Education/Training Program | 1953 Valley Ridge Ln, Duluth, GA 30096-6024 | 2020-09-08 |
| 1871107029 | Ashlie Simmons | Student in an Organized Health Care Education/Training Program | 40 Hardwood Forest Cir, Brunswick, GA 31525-4738 | 2020-09-04 |
| 1427660166 | Kassie Howard | Student in an Organized Health Care Education/Training Program | 2601 Northlake Dr # 1722, Suwanee, GA 30024-2942 | 2020-08-22 |
| Find all providers with the same taxonomy | ||||
| City | ST SIMONS IS |
| Zip Code | 31522 |
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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.