DR. JOHN HEYL GIBSON M.D. NPI 1326057928

NPI Information

NPI: 1326057928
Provider Name: DR. JOHN HEYL GIBSON, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

PECOS Registration: Yes

Address:
190 KIMEL PARK DR STE 120
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-2200
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DR. John Heyl Gibson, M.D. is a neurology psychiatry neurology in Winston Salem, NC with 22 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. John Heyl Gibson, M.D. NPI is 1326057928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

190 KIMEL PARK DR STE 120
WINSTON SALEM, NC
ZIP 27103-946
Phone: (336) 277-2200
Fax: (336) 277-2210

The NPI 1326057928 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	36445	SOUTH CAROLINA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	2006-00136	NORTH CAROLINA	Yes
3	2084H0002X	Psychiatry & Neurology	Hospice and Palliative Medicine	36445	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00605571	OTHER	NORTH CAROLINA	RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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