SIMON JACK GIBSON DNP, CRNA
NPI 1982140844
Nurse Anesthetist, Certified Registered in Chattanooga, TN

Active since January 16, 2017
8915 POTOMAC DR, CHATTANOOGA, TN 37421(601) 826-9031 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2022, Feb 15, 2017, Jan 16, 2017 (3 updates tracked since 2017).

About Simon Jack Gibson Dnp, Crna NPPES

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

SIMON JACK GIBSON DNP, CRNA (NPI 1982140844) is an individual nurse anesthetist, certified registered in Chattanooga, Tennessee, licensed in Georgia (GAA-CRNA000891) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1982140844
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSIMON JACK GIBSONCredential: DNP, CRNA
Location Address8915 POTOMAC DRChattanooga, TN 37421-2008
Mailing Address410 N Cedar Bluff Rd, Ste 300Knoxville, TN 37923-3632 · (865) 342-8900 · Fax (865) 691-0843
Sole ProprietorNo
Enumeration DateJanuary 16, 2017
Last NPPES UpdateAugust 16, 20223 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
✔ NPI 1982140844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in GA · GAA-CRNA000891
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 877434 (MS)
8915 POTOMAC DR, Chattanooga, TN 37421

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Jack Gibson Dnp, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Simon Gibson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 53 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
501 20TH ST, SUITE 606
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: American Anesthesiology Of Tennessee PC
  • 959 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
15 services15 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
11 services11 patients

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 Simon Gibson's NPI number?

The NPI number for Simon Gibson is 1982140844. It was assigned to this individual provider in the NPPES registry on January 16, 2017.

Where is Simon Gibson located?

Simon Gibson practices at 8915 Potomac Dr, Chattanooga, TN 37421. The listed phone number is (601) 826-9031.

What is Simon Gibson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Simon Gibson enrolled in Medicare?

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

Which organizations bill Medicare for Simon Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Gibson reassigns Medicare benefits to 2 organizations: North Georgia Anesthesia Services PC (Dalton, GA) and American Anesthesiology Of Tennessee, P.C. (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Simon Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Gibson accept?

Health plans from Alliant Health Plans, Inc. list Simon Gibson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Simon Gibson was last updated on August 16, 2022. 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.