SOUTH GIBSON FAMILY CARE
NPI 1598201196
Clinic/Center - Multi-Specialty in Medina, TN

Active since January 06, 2017
589 HIGHWAY 45 BYP S, MEDINA, TN 38355(713) 462-0000 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2021, Jan 6, 2017 (2 updates tracked since 2017).

About South Gibson Family Care NPPES

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

SOUTH GIBSON FAMILY CARE (NPI 1598201196) is a healthcare organization registered as a multi-specialty in Medina, Tennessee and active in the NPI registry since January 2017. The organization lists David Jeff Wilbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1598201196
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameP A CORPORATE ENTERPRISES LLP
Location Address589 HIGHWAY 45 BYP SMedina, TN 38355-9633
Mailing Address589 Highway 45 Byp SMedina, TN 38355-9633 · (713) 462-0000
Organization SubpartNo
Authorized OfficialDavid Jeff WilbertOwner · (713) 462-0000
Enumeration DateJanuary 6, 2017
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1598201196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPhysician AssistantTaxonomy 363A00000X
589 HIGHWAY 45 BYP S, Medina, TN 38355

Other Names 1

Doing Business AsSouth Gibson Family Care

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Gibson Family Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to South Gibson Family Care, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1952494643
589 HWY. 45 BY-PASS SOUTH
Medina, TN 38355
(731) 462-0000
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1295714558
708 W FOREST AVE
Jackson, TN 38301
(731) 660-8759
✔ PECOS11 mi

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 P A Corporate Enterprises LLP's NPI number?

The NPI number for P A Corporate Enterprises LLP is 1598201196. It was assigned to this organization in the NPPES registry on January 6, 2017. The provider is doing business as South Gibson Family Care.

Where is P A Corporate Enterprises LLP located?

P A Corporate Enterprises LLP is located at 589 Highway 45 Byp S, Medina, TN 38355. The listed phone number is (713) 462-0000.

What is P A Corporate Enterprises LLP's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is P A Corporate Enterprises LLP enrolled in Medicare?

Yes. P A Corporate Enterprises LLP is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through P A Corporate Enterprises LLP?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to P A Corporate Enterprises LLP, in Emergency Medicine and Nurse Practitioner. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does P A Corporate Enterprises LLP accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list P A Corporate Enterprises LLP 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 P A Corporate Enterprises LLP was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.