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SOUTH GIBSON MEDICAL CLINIC INC.
NPI 1659538841
Family Medicine in Fort Branch, IN

Active since May 16, 2008CLIA 15D0861511 · Waiver
7861 S PROFESSIONAL DR, FORT BRANCH, IN 47648(812) 753-4181(812) 753-4399 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Gibson Medical Clinic Inc. NPPES

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

SOUTH GIBSON MEDICAL CLINIC INC. (NPI 1659538841) is a healthcare organization registered as a family medicine in Fort Branch, Indiana and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Quinten B Emerson, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1659538841
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH GIBSON MEDICAL CLINIC INC.
Location Address7861 S PROFESSIONAL DRFort Branch, IN 47648-8405
Mailing AddressPo Box 185Fort Branch, IN 47648-0185 · (812) 753-4181 · Fax (812) 753-4399
Phone(812) 753-4181
Fax(812) 753-4399
Organization SubpartNo
Authorized OfficialQuinten B EmersonProvider/owner · (812) 753-4181
Enumeration DateMay 16, 2008
Last NPPES UpdateJuly 30, 2008
✔ NPI 1659538841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01027038
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7861 S PROFESSIONAL DR, Fort Branch, IN 47648
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Other Identifiers 3

Medicare UPINB28694IN
Medicaid100122120IN
Medicare PIN280930IN

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D0861511

South Gibson Medical Clinic · Fort Branch, IN
Active · expires Aug 31, 2026
CLIA Number15D0861511
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorQuentin B. Emerson
Laboratory Phone(812) 753-4181
Laboratory LocationSouth Gibson Medical ClinicHwy 41 & Coal Mine Rd PO Box 185, Fort Branch, IN 47648
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. QUENTIN B EMERSON M.D.
Family Medicine
7861 S PROFESSIONAL DR
FORT BRANCH, IN 47648
Gibson County (812) 753-4181

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 South Gibson Medical Clinic Inc.'s NPI number?

The NPI number for South Gibson Medical Clinic Inc. is 1659538841. It was assigned to this organization in the NPPES registry on May 16, 2008.

Where is South Gibson Medical Clinic Inc. located?

South Gibson Medical Clinic Inc. is located at 7861 S Professional Dr, Fort Branch, IN 47648. The listed phone number is (812) 753-4181.

What is South Gibson Medical Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does South Gibson Medical Clinic Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0861511) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Gibson Medical Clinic Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list South Gibson Medical Clinic Inc. 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 South Gibson Medical Clinic Inc. was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.