MARIAH GIBSON PA-C
NPI 1902611494
Physician Assistant in Cleveland, TN

Active since February 11, 2025PECOS EnrolledAccepts Medicare Assignment
3913 GEORGETOWN RD NW, CLEVELAND, TN 37312(423) 479-3600 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mariah Gibson Pa-c NPPES

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

MARIAH GIBSON PA-C (NPI 1902611494) is an individual physician assistant in Cleveland, Tennessee, licensed in Tennessee (6371) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2024).

NPPES Registry Identity

NPI1902611494
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAH GIBSONCredential: PA-C
Location Address3913 GEORGETOWN RD NWCleveland, TN 37312-1806
Mailing Address3913 Georgetown Rd NwCleveland, TN 37312-1806 · (423) 479-3600
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2024
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1902611494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 6371
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.

3913 GEORGETOWN RD NW, Cleveland, TN 37312

Accepted Insurance

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

Mariah Gibson Pa-c 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 ID7810410289
PECOS Enrollment IDI20250326001726
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 37312 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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 3

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

Nurse Practitioner
3913 GEORGETOWN RD NW
CLEVELAND, TN 37312
Orthopaedic Surgery
3913 GEORGETOWN RD NW
CLEVELAND, TN 37312
Orthopaedic Surgery
3913 GEORGETOWN RD NW
CLEVELAND, TN 37312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902611494, enumerated as an "individual" on February 11, 2025.

The provider is located at 3913 GEORGETOWN RD NW CLEVELAND, TN 37312 and the phone number is (423) 479-3600.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to verify.