1. Home
  2. Directory
  3. Georgia
  4. Waycross
  5. Nurse Practitioner
  6. NPI Profile

MRS. OLIVIA RUTH GIBSON RN/APRN
NPI 1942233762
Nurse Practitioner in Waycross, GA

Active since July 07, 2006Opted out of Medicare · through Apr 1, 2028
515 RIVERSIDE DR, WAYCROSS, GA 31501(912) 283-5729(912) 490-5774 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2023, Apr 9, 2018 (2 updates tracked since 2018).

About Mrs. Olivia Ruth Gibson Rn/aprn NPPES

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

MRS. OLIVIA RUTH GIBSON RN/APRN (NPI 1942233762) is an individual nurse practitioner in Waycross, Georgia, licensed in Georgia (RN113495) and active in the NPI registry since July 2006. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942233762
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. OLIVIA RUTH GIBSONCredential: RN/APRN
Location Address515 RIVERSIDE DRWaycross, GA 31501-5316
Mailing Address515 Riverside DrWaycross, GA 31501-5316 · (912) 283-5729 · Fax (912) 490-5774
Phone(912) 283-5729
Fax(912) 490-5774
Sole ProprietorYes
Enumeration DateJuly 7, 2006
Last NPPES UpdateNovember 15, 20232 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1942233762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN113495
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN113495 (GA)
515 RIVERSIDE DR, Waycross, GA 31501
Open in Google Maps ↗

Other Names 1

Former Name (1)Olivia Ruth Hayes Rn/aprn

Other Identifiers 1

Medicaid000759536IGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Olivia Ruth Gibson Rn/aprn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31501 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Olivia Gibson's NPI number?

The NPI number for Olivia Gibson is 1942233762. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Olivia Ruth Hayes Rn/Aprn.

Where is Olivia Gibson located?

Olivia Gibson practices at 515 Riverside Dr, Waycross, GA 31501. The listed phone number is (912) 283-5729.

What is Olivia Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Olivia Gibson enrolled in Medicare?

No. Olivia Gibson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Olivia Gibson was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.