JAMES GIBSON FNP
NPI 1144200411
Nurse Practitioner - Family in Athens, GA
NPI Status: Active since January 20, 2006
Contact Information
892 PRINCE AVE
SUITE C
ATHENS, GA
ZIP 30606
Phone: (706) 227-2027
Fax: (706) 227-2433
- Individual
- Male
- Nurse Practitioner
- Family
- PECOS Enrolled
About JAMES GIBSON
This page provides the complete NPI Profile along with additional information for James Gibson, a provider established in Athens, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1144200411 assigned on January 2006. The practitioner's primary taxonomy code is 363LF0000X with license number RN123486 (GA). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1144200411
- Provider Name
- JAMES GIBSON FNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 892 PRINCE AVE SUITE C ATHENS, GA 30606
- Location Phone
- (706) 227-2027
- Location Fax
- (706) 227-2433
- Mailing Address
- 892 PRINCE AVE ATHENS, GA 30606
- Mailing Phone
- (706) 227-2027
- Mailing Fax
- (706) 227-2433
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-20-2006
- Last Update Date
- 02-12-2015
- Code Navigator
A nurse practitioner (NP) like James Gibson is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN123486
- License State
- GA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50BBGSM | MEDICARE PIN (08) | GA | |
| P28338 | MEDICARE UPIN (02) | GA | |
| 000925922E | MEDICAID (05) | GA |
Medicare Participation & PECOS Enrollment Status
James Gibson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30606 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for JAMES GIBSON FNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 2 | 0 | 0 | 4 | 1 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 4 | 0 | 0 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 4 + 0 + 0 + 4 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1144200411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
MICHAEL N CARTER MD
Family Medicine
892 PRINCE AVE
ATHENS, GA
ZIP 30606
PRINCE AVENUE PRIMARY CARE, L.L.C.
Family Medicine
892 PRINCE AVE
ATHENS, GA
ZIP 30606
MR. STEPHEN RICK MARQUESS ATC
Specialist/Technologist
(Athletic Trainer)
892 PRINCE AVE
ATHENS, GA
ZIP 30606
HOLLY ANN BONNER N.P.
Nurse Practitioner
(Family)
892 PRINCE AVE
ATHENS, GA
ZIP 30606
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144200411, enumerated as an "individual" on January 20, 2006.
The provider is located at 892 PRINCE AVE SUITE C ATHENS, GA 30606 and the phone number is (706) 227-2027.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
