GIBBS FAMILY PRACTICE, LLC
NPI 1457726374
Nurse Practitioner - Family in Corryton, TN
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
Specialties & Licenses
Other Identifiers 4
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)
Gibbs Family Practice, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Gibbs Family Practice, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, TNFrequently 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.
Is Gibbs Family Practice, LLC enrolled in Medicare?
Yes. Gibbs Family Practice, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gibbs Family Practice, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Gibbs Family Practice, LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 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.
# Gibbs Family Practice, Llc · NPI 1457726374
Family organization in Corryton, Tennessee. Organization record, active in the CMS NPPES registry since December 3, 2015.
## Identity
- **NPI:** 1457726374 (Entity type: Organization)
- **Enumerated:** December 3, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Leslie Heiser, SOLE MEMBER
## Practice location
- **Address:** 7331 TAZEWELL PIKE, Corryton, TN 37721-3516
- **Phone:** (865) 249-8044
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 23, 2023
- **Other identifiers:** Other 1124450648 (TN); Other 1457726374; Medicaid 1532504 (TN); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457726374) · Data from the CMS NPPES public registry.