MRS. ANDREA GIBSON NP NPI 1063113488

NPI Information

  • NPI: 1063113488
  • Provider Name: MRS. ANDREA GIBSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 793 SAWYER RD
    MARIETTA, GA
    ZIP 30062
  • Phone: (678) 247-3132

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NPI Details

MRS. Andrea Gibson, NP is a family nurse practitioner in Marietta, GA with 3 years of experience. MRS. Andrea Gibson, NP NPI is 1063113488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

793 SAWYER RD
MARIETTA, GA
ZIP 30062-222
Phone: (678) 247-3132

The NPI 1063113488 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 3/13/2023 and was last updated on 3/13/2023.

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
1363LF0000XNurse PractitionerFamilyRN209246GEORGIAYes

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: 3/30/2025

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