1. Home
  2. Directory
  3. Georgia
  4. Watkinsville
  5. Physician Assistant
  6. NPI Profile

HOLLIS GIBSON PA
NPI 1841096385
Physician Assistant in Watkinsville, GA

Active since February 24, 2025PECOS EnrolledAccepts Medicare Assignment
1404 SHENANDOAH DR, WATKINSVILLE, GA 30677(770) 380-8404 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 17, 2025, Feb 24, 2025 (2 updates tracked since 2025).

About Hollis Gibson Pa NPPES

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

HOLLIS GIBSON PA (NPI 1841096385) is an individual physician assistant in Watkinsville, Georgia and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Watkinsville, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1841096385
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHOLLIS GIBSONCredential: PA
Location Address1404 SHENANDOAH DRWatkinsville, GA 30677-8373
Mailing Address1404 Shenandoah DrWatkinsville, GA 30677-8373
Phone(770) 380-8404
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 24, 2025
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1841096385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1404 SHENANDOAH DR, Watkinsville, GA 30677
Open in Google Maps ↗

Secondary Practice Location 1

Location 11404 Shenandoah DrWatkinsville, GA 30677-8373 · Phone (770) 380-8404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hollis Gibson Pa 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 ID7911421979
PECOS Enrollment IDI20250411000359
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 30677 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 2

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

TRACI LEE BROWN
Physical Therapist
1404 SHENANDOAH DR
WATKINSVILLE, GA 30677
Oconee County (770) 380-8463
TRACIS REHAB ASSOCIATES
Physical Therapist
1404 SHENANDOAH DR
WATKINSVILLE, GA 30677
Oconee County (770) 380-8463

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 Hollis Gibson's NPI number?

The NPI number for Hollis Gibson is 1841096385. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Hollis Gibson located?

Hollis Gibson practices at 1404 Shenandoah Dr, Watkinsville, GA 30677. The listed phone number is (770) 380-8404.

What is Hollis Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hollis Gibson enrolled in Medicare?

Yes. Hollis Gibson 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.

When was this NPI record last updated?

The NPPES record for Hollis Gibson was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.