GIBSON CHIROPRACTIC CLINIC, PC
NPI 1396189544
Chiropractor in Decatur, GA
About Gibson Chiropractic Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIBSON CHIROPRACTIC CLINIC, PC (NPI 1396189544) is a healthcare organization registered as a chiropractor in Decatur, Georgia and active in the NPI registry since April 2013. The organization lists Patricia Gibson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gibson Chiropractic Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gibson Chiropractic Clinic, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gibson Chiropractic Clinic, PC's NPI number?
The NPI number for Gibson Chiropractic Clinic, PC is 1396189544. It was assigned to this organization in the NPPES registry on April 18, 2013.
Where is Gibson Chiropractic Clinic, PC located?
Gibson Chiropractic Clinic, PC is located at 411 W Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 378-4686.
What is Gibson Chiropractic Clinic, PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Gibson Chiropractic Clinic, PC enrolled in Medicare?
Yes. Gibson Chiropractic Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gibson Chiropractic Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Gibson Chiropractic Clinic, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gibson Chiropractic Clinic, PC was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Gibson Chiropractic Clinic, Pc · NPI 1396189544
Chiropractor organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since April 18, 2013.
## Identity
- **NPI:** 1396189544 (Entity type: Organization)
- **Enumerated:** April 18, 2013
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Patricia Gibson, PRESIDENT
## Practice location
- **Address:** 411 W PONCE DE LEON AVE, Decatur, GA 30030-2444
- **Phone:** (404) 378-4686
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2013
- **Other identifiers:** Medicare PIN 172506698A (GA); Medicare PIN 172506698A
---
Source: [NPI Profile](https://npiprofile.com/npi/1396189544) · Data from the CMS NPPES public registry.