GIBBS FAMILY PRACTICE, LLC
NPI 1457726374
Nurse Practitioner - Family in Corryton, TN

Active since December 03, 2015CLIA 44D2105050 · Waiver
7331 TAZEWELL PIKE, CORRYTON, TN 37721(865) 249-8044 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 23, 2023, Dec 13, 2016, Sep 13, 2016 and 2 more (5 updates tracked since 2015).

About Gibbs Family Practice, Llc NPPES

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

GIBBS FAMILY PRACTICE, LLC (NPI 1457726374) is a healthcare organization registered as a family in Corryton, Tennessee and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists Leslie Heiser, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1457726374
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGIBBS FAMILY PRACTICE, LLC
Location Address7331 TAZEWELL PIKECorryton, TN 37721-3516
Mailing Address7331 Tazewell PikeCorryton, TN 37721-3516 · (865) 249-8044
Organization SubpartNo
Authorized OfficialLeslie HeiserSole Member · (865) 249-8044
Enumeration DateDecember 3, 2015
Last NPPES UpdateMay 23, 20235 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
NPI 1457726374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · APN17718
7331 TAZEWELL PIKE, Corryton, TN 37721

Other Identifiers 4

Other1124450648TN · Individual Npi
Other1457726374Group Type Ii Npi
Medicaid1532504TN
Other3706725TN · Mcptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2105050

Gibbs Family Practice, LLC · Corryton, TN
Active · expires Nov 16, 2027
CLIA Number44D2105050
Laboratory TypePractitioner Other
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorJosie Corum
Laboratory Phone(865) 806-2577
Laboratory LocationGibbs Family Practice, LLC7331 Tazewell Pike, Corryton, TN 37721
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
7331 TAZEWELL PIKE
CORRYTON, TN 37721
Nurse Practitioner (Family)
7331 TAZEWELL PIKE
CORRYTON, TN 37721
Nurse Practitioner (Family)
7331 TAZEWELL PIKE
CORRYTON, TN 37721
Nurse Practitioner (Family)
7331 TAZEWELL PIKE
CORRYTON, TN 37721

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 Gibbs Family Practice, LLC's NPI number?

The NPI number for Gibbs Family Practice, LLC is 1457726374. It was assigned to this organization in the NPPES registry on December 3, 2015.

Where is Gibbs Family Practice, LLC located?

Gibbs Family Practice, LLC is located at 7331 Tazewell Pike, Corryton, TN 37721. The listed phone number is (865) 249-8044.

What is Gibbs Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Gibbs Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2105050) is associated with this NPI, valid through November 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gibbs Family Practice, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Gibbs Family Practice, LLC 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 Gibbs Family Practice, LLC was last updated on May 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.