Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DEREK WILLIAM GIBBS LAT, ATC
NPI 1609775535
Specialist/Technologist - Athletic Trainer in Carrollton, GA

Q: What is Derek Gibbs's NPI number?

The NPI number for Derek Gibbs is 1609775535. It was assigned to this individual provider in the NPPES registry on November 5, 2026.

Q: What is Derek Gibbs's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Derek Gibbs was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since November 05, 2026

705 DIXIE ST, CARROLLTON, GA 30117(770) 500-2840 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Derek William Gibbs Lat, Atc NPPES

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

DEREK WILLIAM GIBBS LAT, ATC (NPI 1609775535) is an individual athletic trainer provider in Carrollton, Georgia, licensed in Georgia (AT002736) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1609775535

Entity TypeIndividual

Primary Taxonomy2255A2300X

Provider Legal NameDEREK WILLIAM GIBBSCredential: LAT, ATC

Location Address705 DIXIE STCarrollton, GA 30117-3818

Mailing Address74 Whooping Creek RdCarrollton, GA 30116-8998

Phone(770) 500-2840

Sole ProprietorYes

Enumeration DateNovember 5, 2026

NPPES CertifiedNovember 5, 2026

✔ NPI 1609775535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in GA · AT002736

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

705 DIXIE ST, Carrollton, GA 30117

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

WEST GEORGIA PATHOLOGY, LLC

Pathology (Anatomic Pathology & Clinical Pathology)

705 DIXIE ST, ATTENTION: PATHOLOGY DEPARTMENT
CARROLLTON, GA 30117

Carroll County (678) 305-9046

LORIEN T ALTADONNA M.D.

Pathology (Anatomic Pathology & Clinical Pathology)