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MS. SAMANTHA SMITH GIPSON AGNP-C
NPI 1174163620
Nurse Practitioner - Primary Care in Jackson, MS

Active since January 13, 2020
1500 E WOODROW WILSON AVE, JACKSON, MS 39216(601) 362-4471 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2026, Jan 13, 2020 (2 updates tracked since 2020).

About Ms. Samantha Smith Gipson Agnp-c NPPES

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

MS. SAMANTHA SMITH GIPSON AGNP-C (NPI 1174163620) is an individual primary care provider in Jackson, Mississippi, licensed in Mississippi (903674) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1174163620
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. SAMANTHA SMITH GIPSONCredential: AGNP-C
Location Address1500 E WOODROW WILSON AVEJackson, MS 39216-5116
Mailing Address101 Devereaux DrMadison, MS 39110-9353 · (601) 946-9650
Phone(601) 362-4471
Sole ProprietorNo
Enumeration DateJanuary 13, 2020
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1174163620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MS · 903674
1500 E WOODROW WILSON AVE, Jackson, MS 39216
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Other Providers at the Same Location NPPES 20

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

MELISSA ALLENE GRAIG RN
Registered Nurse
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
DR. ELIZABETH NOSEN PH.D.
Psychologist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
WHITNEY ROWELL GERBER
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1352
MS. SANDRA TERRY-TURNER RPH
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MR. GLENN D SHAW R.PH.
Pharmacist
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 364-1555
MRS. ANGELA A. CAUSEY MS, RD
Dietitian, Registered
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
SONNY MONTGOMERY V A M EDICAL CENTER
Chronic Disease Hospital
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 362-4471
MRS. MOLLY WILLIS HOKE LCSW
Social Worker (Clinical)
1500 E WOODROW WILSON AVE
JACKSON, MS 39216
Hinds County (601) 352-4471

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 Samantha Gipson's NPI number?

The NPI number for Samantha Gipson is 1174163620. It was assigned to this individual provider in the NPPES registry on January 13, 2020.

Where is Samantha Gipson located?

Samantha Gipson practices at 1500 E Woodrow Wilson Ave, Jackson, MS 39216. The listed phone number is (601) 362-4471.

What is Samantha Gipson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Samantha Gipson was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.