MICHAEL ANTHONY GIBSON SR. M.D.
NPI 1750589891
Internal Medicine in Smyrna, GA

Active since July 10, 2007PECOS Enrolled
3969 S COBB DR SE, SUITE 201, SMYRNA, GA 30080(770) 438-2942 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Anthony Gibson Sr. M.d. NPPES

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

MICHAEL ANTHONY GIBSON SR. M.D. (NPI 1750589891) is an individual internal medicine provider in Smyrna, Georgia, licensed in Georgia (057975) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2004).

NPPES Registry Identity

NPI1750589891
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL ANTHONY GIBSON SR.Credential: M.D.
Location Address3969 S COBB DR SE, SUITE 201Smyrna, GA 30080-6358
Mailing Address5000 Serenity Point LnVilla Rica, GA 30180-6963 · (404) 580-7642
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2004
Enumeration DateJuly 10, 2007
Last NPPES UpdateMarch 7, 2023
NPI 1750589891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 057975
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 057975 (GA)
3969 S COBB DR SE, Smyrna, GA 30080

Other Identifiers 1

Other057975GA · Ga. License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Anthony Gibson Sr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234224510
PECOS Enrollment IDI20241211003318
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 18

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

Internal Medicine
3969 S COBB DR SE, SUITE 110
SMYRNA, GA 30080
Chiropractor
3969 S COBB DR SE, SUITE 205
SMYRNA, GA 30080
Family Medicine
3969 S COBB DR SE, SUITE 202
SMYRNA, GA 30080
Surgery
3969 S COBB DR SE, SUITE 202
SMYRNA, GA 30080
Chiropractor
3969 S COBB DR SE, SUITE 205
SMYRNA, GA 30080
Legal Medicine
3969 S COBB DR SE, STE 110
SMYRNA, GA 30080
Specialist
3969 S COBB DR SE, SUITE 110
SMYRNA, GA 30080
Clinic/Center (Magnetic Resonance Imaging (MRI))
3969 S COBB DR SE, SUITE 101
SMYRNA, GA 30080

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 Michael Gibson's NPI number?

The NPI number for Michael Gibson is 1750589891. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Michael Gibson located?

Michael Gibson practices at 3969 S Cobb Dr SE Suite 201, Smyrna, GA 30080. The listed phone number is (770) 438-2942.

What is Michael Gibson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Gibson enrolled in Medicare?

Yes. Michael Gibson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Gibson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.