JESSICA DANIELLE GIBSON PA-C
NPI 1932876653
Physician Assistant - Medical in Powell, TN

Active since August 30, 2021PECOS Enrolled
7565 DANNAHER DR, POWELL, TN 37849(865) 859-8000 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Danielle Gibson Pa-c NPPES

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

JESSICA DANIELLE GIBSON PA-C (NPI 1932876653) is an individual medical provider in Powell, Tennessee, licensed in Tennessee (4714) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932876653
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA DANIELLE GIBSONCredential: PA-C
Location Address7565 DANNAHER DRPowell, TN 37849-4029
Mailing Address428 Aaron Davis RdSpeedwell, TN 37870-7405
Sole ProprietorNo
Enumeration DateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1932876653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 4714
7565 DANNAHER DR, Powell, TN 37849

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Danielle Gibson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Internal Medicine
7565 DANNAHER DR
POWELL, TN 37849
Physician Assistant
7565 DANNAHER DR
POWELL, TN 37849
Nurse Practitioner (Psychiatric/Mental Health)
7565 DANNAHER DR
POWELL, TN 37849
Student in an Organized Health Care Education/Training Program
7565 DANNAHER DR
POWELL, TN 37849
Pharmacist
7565 DANNAHER DR
POWELL, TN 37849
Student in an Organized Health Care Education/Training Program
7565 DANNAHER DR
POWELL, TN 37849
General Acute Care Hospital
7565 DANNAHER DR
POWELL, TN 37849
Doula
7565 DANNAHER DR
POWELL, TN 37849

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 Jessica Gibson's NPI number?

The NPI number for Jessica Gibson is 1932876653. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Jessica Gibson located?

Jessica Gibson practices at 7565 Dannaher Dr, Powell, TN 37849. The listed phone number is (865) 859-8000.

What is Jessica Gibson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Gibson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Gibson was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.