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DR. CARTER ELISHA GIBSON M.D
NPI 1437181138
Internal Medicine in Covington, GA

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
4181 HOSPITAL DR NE, SUITE 401, COVINGTON, GA 30014(770) 787-4700(770) 784-0435 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Carter Elisha Gibson M.d NPPES

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

DR. CARTER ELISHA GIBSON M.D (NPI 1437181138) is an individual internal medicine provider in Covington, Georgia, licensed in Georgia (057304) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Emory University School Of Medicine (2003).

NPPES Registry Identity

NPI1437181138
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CARTER ELISHA GIBSONCredential: M.D
Location Address4181 HOSPITAL DR NE, SUITE 401Covington, GA 30014-2541
Mailing Address4181 Hospital Dr Ne, Suite 401Covington, GA 30014-2541 · (770) 787-4700 · Fax (770) 784-0435
Phone(770) 787-4700
Fax(770) 784-0435
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2003
Enumeration DateJuly 6, 2006
Last NPPES UpdateNovember 10, 2014
✔ NPI 1437181138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 057304
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4181 HOSPITAL DR NE, Covington, GA 30014
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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

Dr. Carter Elisha Gibson M.d 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 ID4587667522
PECOS Enrollment IDI20060814000132
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
233 services111 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
88 services49 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30014 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

NEWTON HEALTH SYSTEM, INC.
Obstetrics & Gynecology
4181 HOSPITAL DR NE, SUITE 104
COVINGTON, GA 30014
Newton County (770) 385-8954
NEWTON HEALTH CARE SYSTEMS, INC.
Specialist
4181 HOSPITAL DR NE, SUITE 204
COVINGTON, GA 30014
Newton County (770) 788-6534
JULIANA NAHAS, MD PC
Pediatrics
4181 HOSPITAL DR NE, STE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
MRS. HANNAH ADDIS PNP
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 728-1901
GEORGIA UROLOGY PA
Urology
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-7311
MRS. JULIE BUFF WALTER CPNP, APRN
Nurse Practitioner (Pediatrics)
4181 HOSPITAL DR NE, SUITE 202
COVINGTON, GA 30014
Newton County (770) 787-7444
BENJAMIN C ROGERS M.D.
Surgery
4181 HOSPITAL DR NE, SUITE 303
COVINGTON, GA 30014
Newton County (770) 787-6957
GEORGIA ORTHOPEDICS AND SPORTS MEDICINE,LLC
Orthopaedic Surgery
4181 HOSPITAL DR NE
COVINGTON, GA 30014
Newton County (770) 788-6534

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 Carter Gibson's NPI number?

The NPI number for Carter Gibson is 1437181138. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Carter Gibson located?

Carter Gibson practices at 4181 Hospital Dr NE Suite 401, Covington, GA 30014. The listed phone number is (770) 787-4700.

What is Carter Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carter Gibson enrolled in Medicare?

Yes. Carter Gibson 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 Carter Gibson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Carter Gibson 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.

Is Carter Gibson affiliated with any hospitals?

According to CMS data, Carter Gibson is affiliated with Emory Decatur Hospital, Piedmont Rockdale Hospital, Northside Hospital and Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Carter Gibson was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.