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JEREMIAH D GIBBENS LCSW
NPI 1669364527
Social Worker - Clinical in Greeneville, TN

Active since July 16, 2025PECOS EnrolledAccepts Medicare Assignment
401 HOLSTON DR, GREENEVILLE, TN 37743(423) 639-1104(423) 636-8365 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremiah D Gibbens Lcsw NPPES

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

JEREMIAH D GIBBENS LCSW (NPI 1669364527) is an individual clinical provider in Greeneville, Tennessee, licensed in Tennessee (8964) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669364527
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEREMIAH D GIBBENSCredential: LCSW
Location Address401 HOLSTON DRGreeneville, TN 37743-3127
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 639-1104
Fax(423) 636-8365
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1669364527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 8964
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
401 HOLSTON DR, Greeneville, TN 37743
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeremiah D Gibbens Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456853167
PECOS Enrollment IDI20250903002386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeremiah Gibbens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Frontier Health
0.1 mi
Mental Health (Including Community Mental Health Center)
401 HOLSTON DR
Greeneville, TN 37743
  • Reassigned Medicare billing, Tennessee enrollment
  • 126 clinicians in this Medicare group
NPI 1760547004 (423) 639-1104

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AMY TAIS CARRIER MA
Counselor
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MRS. KAREN MALINDA LANE APRN
Nurse Practitioner (Psychiatric/Mental Health)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MISS REBECCA MILES MOORE BA
Case Manager/Care Coordinator
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
AMY MARIA MULLINS MA
Counselor (Professional)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
JEFFEREY WOLIVER BS
Case Manager/Care Coordinator
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
CECILIA S HAMILTON MSW
Social Worker (Clinical)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 232-2600
SARAH E HAYES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MS. CATHERINE ANNE HORTON LPN
Licensed Practical Nurse
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104

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 Jeremiah Gibbens's NPI number?

The NPI number for Jeremiah Gibbens is 1669364527. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Jeremiah Gibbens located?

Jeremiah Gibbens practices at 401 Holston Dr, Greeneville, TN 37743. The listed phone number is (423) 639-1104.

What is Jeremiah Gibbens's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeremiah Gibbens enrolled in Medicare?

Yes. Jeremiah Gibbens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeremiah Gibbens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremiah Gibbens reassigns Medicare benefits to Frontier Health (Greeneville, TN). The 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 Jeremiah Gibbens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremiah Gibbens was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.