SCOTT ALEXANDER GIBSON LPN
NPI 1083371538
Licensed Practical Nurse in Riverdale, GA

Active since November 19, 2021
277 MEDICAL WAY, RIVERDALE, GA 30274(470) 298-7236 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Scott Alexander Gibson Lpn NPPES

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

SCOTT ALEXANDER GIBSON LPN (NPI 1083371538) is an individual licensed practical nurse in Riverdale, Georgia, licensed in Georgia (LPN076640) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1083371538
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameSCOTT ALEXANDER GIBSONCredential: LPN
Location Address277 MEDICAL WAYRiverdale, GA 30274-2522
Mailing Address10019 Reisterstown Rd Fl 3Owings Mills, MD 21117-3902
Sole ProprietorNo
Enumeration DateNovember 19, 2021
NPPES CertifiedNovember 19, 2021
NPI 1083371538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in GA · LPN076640
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

277 MEDICAL WAY, Riverdale, GA 30274

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Counselor (Addiction (Substance Use Disorder))
277 MEDICAL WAY
RIVERDALE, GA 30274
Nurse Practitioner (Adult Health)
277 MEDICAL WAY
RIVERDALE, GA 30274
Assisted Living Facility
277 MEDICAL WAY
RIVERDALE, GA 30274
Licensed Practical Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Registered Nurse
277 MEDICAL WAY
RIVERDALE, GA 30274
Clinic/Center (Mental Health (Including Community Mental Health Center))
277 MEDICAL WAY
RIVERDALE, GA 30274

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 Scott Gibson's NPI number?

The NPI number for Scott Gibson is 1083371538. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Scott Gibson located?

Scott Gibson practices at 277 Medical Way, Riverdale, GA 30274. The listed phone number is (470) 298-7236.

What is Scott Gibson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Scott Gibson was last updated on November 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.