RANDEL GIBSON DO
NPI 1750336335
Family Medicine in Pontotoc, MS

Active since May 23, 2006
353 HIGHWAY 15 N, PONTOTOC, MS 38863(662) 490-1985(662) 490-1989 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randel Gibson Do NPPES

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

RANDEL GIBSON DO (NPI 1750336335) is an individual family medicine provider in Pontotoc, Mississippi, licensed in Mississippi (19706) and active in the NPI registry since May 2006. He maintains a secondary practice location in Mayfield.

NPPES Registry Identity

NPI1750336335
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDEL GIBSONCredential: DO
Location Address353 HIGHWAY 15 NPontotoc, MS 38863
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534 · Fax (870) 347-2023
Fax(662) 490-1989
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 7, 2018
NPI 1750336335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MS · 19706 Licensed in KY · 02027
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.
353 HIGHWAY 15 N, Pontotoc, MS 38863

Secondary Practice Location 1

Location 11029 Medical Center Cir, Ste 200Mayfield, KY 42066 · Phone (270) 251-4545 · Fax (270) 251-4546

Other Providers at the Same Location NPPES 7

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

Family Medicine
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Dietitian, Registered
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Dietitian, Registered
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Family Medicine
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Nurse Practitioner
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Clinic/Center (Federally Qualified Health Center (FQHC))
353 HIGHWAY 15 N
PONTOTOC, MS 38863
Counselor (Professional)
353 HIGHWAY 15 N
PONTOTOC, MS 38863

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 Randel Gibson's NPI number?

The NPI number for Randel Gibson is 1750336335. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Randel Gibson located?

Randel Gibson practices at 353 Highway 15 N, Pontotoc, MS 38863. The listed phone number is (662) 490-1985.

What is Randel Gibson's specialty?

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

When was this NPI record last updated?

The NPPES record for Randel Gibson was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.