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RICHARD J MCKIBBEN PT, DSC, ECS
NPI 1407949134
Physical Therapist - Electrophysiology, Clinical in Kingsland, GA

Active since October 02, 2006Accepts Medicare Assignment
100 A LINDSEY LANE, KINGSLAND, GA 31548(912) 729-1333(912) 729-5259 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard J Mckibben Pt, Dsc, Ecs NPPES

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

RICHARD J MCKIBBEN PT, DSC, ECS (NPI 1407949134) is an individual electrophysiology, clinical provider in Kingsland, Georgia, licensed in Georgia (PT004832) and active in the NPI registry since October 2006. He maintains 7 additional practice locations and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407949134
Entity TypeIndividualMale
Primary Taxonomy2251E1300X
Provider Legal NameRICHARD J MCKIBBENCredential: PT, DSC, ECS
Location Address100 A LINDSEY LANEKingsland, GA 31548-0000
Mailing AddressPo Box 949Rome, GA 30162-0949 · (706) 236-2774 · Fax (706) 802-1408
Phone(912) 729-1333
Fax(912) 729-5259
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
✔ NPI 1407949134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251E1300X
Licenses✔ Licensed in GA · PT004832✔ Licensed in PA · PT032925
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.
Also ListedPhysical TherapistTaxonomy 225100000X · License PT004832 (GA)
100 A LINDSEY LANE, Kingsland, GA 31548
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Secondary Practice Locations 7

Location 1140 Johnny Mercer Blvd Ste 10ASavannah, GA 31410-2169 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 2840 Pine St Ste 880Macon, GA 31201-7525 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 36330 Primrose Hill Ct Ste 201Norcross, GA 30092-4544 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 41000 Hillcrest PkwyDublin, GA 31021-4208 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 5371 Noah Dr Ste 102Jasper, GA 30143-8708 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 6165 N Park Trl Ste 100Stockbridge, GA 30281-6509 · Phone (470) 809-1581 · Fax (470) 809-1582
Location 74216 Washington Rd Ste 2Evans, GA 30809-4717 · Phone (470) 809-1581 · Fax (470) 809-1582

Other Identifiers 1

Medicaid818354932JGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Richard J Mckibben Pt, Dsc, Ecs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931168275
PECOS Enrollment IDI20041004000566, I20250804002157

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
107 services96 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
53 services47 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
34 services34 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
26 services26 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
22 services22 patients
Nerve conduction, 11-12 studies 95912
Nerve conduction studies are tests that measure how well your nerves are working. In 11-12 studies, small electrodes are placed on your skin to send and receive electrical signals. These signals show how quickly and effectively your nerves are transmitting signals, helping to identify any nerve damage or dysfunction.
11 services11 patients

Other Providers at the Same Location NPPES 3

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

SAMANTHA ANN LIDDY ATC
Specialist/Technologist (Athletic Trainer)
100 A LINDSEY LANE
KINGSLAND, GA 31548
Camden County (912) 729-1333
MARSHA SHACKELFORD PT
Physical Therapist
100 A LINDSEY LANE
KINGSLAND, GA 31548
Camden County (912) 729-1333
WILLIAM EDWARD JONES JR. PTA
Physical Therapy Assistant
100 A LINDSEY LANE
KINGSLAND, GA 31548
Camden County (912) 729-1333

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 Richard Mckibben's NPI number?

The NPI number for Richard Mckibben is 1407949134. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Richard Mckibben located?

Richard Mckibben practices at 100 A Lindsey Lane, Kingsland, GA 31548. The listed phone number is (912) 729-1333.

What is Richard Mckibben's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Is Richard Mckibben enrolled in Medicare?

Yes. Richard Mckibben is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Mckibben accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Richard Mckibben as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Mckibben was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.