1. Home
  2. Directory
  3. Georgia
  4. Conyers
  5. Clinic Center
  6. NPI Profile

COREY DWAYNE GIBBS
NPI 1215654900
Clinic/Center - Adult Day Care in Conyers, GA

Active since October 24, 2022
1040 PLANTATION BLVD SE, CONYERS, GA 30094(404) 717-7631 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Corey Dwayne Gibbs NPPES

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

COREY DWAYNE GIBBS (NPI 1215654900) is an individual adult day care provider in Conyers, Georgia and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1215654900
Entity TypeIndividualMale
Primary Taxonomy261QA0600X
Provider Legal NameCOREY DWAYNE GIBBS
Location Address1040 PLANTATION BLVD SEConyers, GA 30094-4119
Mailing Address1040 Plantation Blvd SeConyers, GA 30094-4119 · (404) 717-7631
Phone(404) 717-7631
Sole ProprietorYes
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1215654900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
1040 PLANTATION BLVD SE, Conyers, GA 30094
Open in Google Maps ↗

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 Corey Gibbs's NPI number?

The NPI number for Corey Gibbs is 1215654900. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Corey Gibbs located?

Corey Gibbs practices at 1040 Plantation Blvd SE, Conyers, GA 30094. The listed phone number is (404) 717-7631.

What is Corey Gibbs's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Corey Gibbs was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.