MADENA JANE GIBSON MD
NPI 1013431519
General Practice in Raymond, MS

Q: What is Madena Gibson's NPI number?

The NPI number for Madena Gibson is 1013431519. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Q: What is Madena Gibson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Madena Gibson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 27, 2017

1695 MOSES RD, RAYMOND, MS 39154(601) 857-8638 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017 (2 updates tracked since 2017).

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About Madena Jane Gibson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADENA JANE GIBSON MD (NPI 1013431519) is an individual general practice provider in Raymond, Mississippi, licensed in Mississippi (07981) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1013431519

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMADENA JANE GIBSONCredential: MD

Location Address1695 MOSES RDRaymond, MS 39154-8766

Mailing Address1695 Moses RdRaymond, MS 39154-8766 · (601) 857-8638

Phone(601) 857-8638

Sole ProprietorYes

Enumeration DateJuly 27, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1013431519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MS · 07981

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1695 MOSES RD, Raymond, MS 39154

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Other Identifiers 1

Other07981MS · Ms Medical Licensure

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madena Gibson's NPI number?

The NPI number for Madena Gibson is 1013431519. It was assigned to this individual provider in the NPPES registry on July 27, 2017.

Where is Madena Gibson located?

Madena Gibson practices at 1695 Moses Rd, Raymond, MS 39154. The listed phone number is (601) 857-8638.

What is Madena Gibson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Madena Gibson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.