Andrew Lee Gibson (NPI# 1023463056, PAC ID# 4587994322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1023463056 |
| PAC ID by PECOS | 4587994322 |
| Professional Enrollment ID | I20190923000332 |
| Full Name | Andrew Lee Gibson |
| Organization Legal Name | TRI-CITIES OBSERVATION SERVICES, PC |
| Address |
400 N State of Franklin Rd Johnson City TN 37604-6035 |
| Phone Number | 4234316111 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 3274819719 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234316111 | TRI-CITIES OBSERVATION SERVICES, PC |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | TRI-CITIES REGIONAL EMERGENCY PHYSICIANS, PC |
| Organization Legal Name | TRI-CITIES OBSERVATION SERVICES, PC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Pressley | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Mark W Ingram | Physician Assistant | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Michael May | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Doris A Casey | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Dustin L Barrett | Physician Assistant | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Angela S Rader | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Charity F Styles | Emergency Medicine | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Kimberley A Bell | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Nicholas Greene | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Shanna Y Pressley | Physician Assistant | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Street Address |
400 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-6035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell E Deshazer | Critical Care (intensivists) | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| Jeffrey D Turner | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Emily R Patterson | Pathology | Watauga Pathology Associates PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Ralph Daniel Snider | Critical Care (intensivists) | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| Thomas Matthew Soike | Pathology | Watauga Pathology Associates PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Rhonda C Hillman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| John H Mullins | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Neil Pressley | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Mark W Ingram | Physician Assistant | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Michael May | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | JOHNSON CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Andrew Lee Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.