DR. JAMES E GIBBS MD NPI 1083717565

NPI Information

NPI: 1083717565
Provider Name: DR. JAMES E GIBBS, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2450 MASON AVE
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 676-7100
Get Directions

DR. James E Gibbs, MD is a family medicine in Daytona Beach, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. James E Gibbs, MD NPI is 1083717565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2450 MASON AVE
DAYTONA BEACH, FL
ZIP 32114-110
Phone: (386) 676-7100

The NPI 1083717565 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 9/7/2006 and was last updated on 1/19/2023.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	2014-02167	NORTH CAROLINA	No
2	207Q00000X	Family Medicine	24750	WEST VIRGINIA	No
3	207Q00000X	Family Medicine	35.043934	OHIO	No
4	207Q00000X	Family Medicine	37406	SOUTH CAROLINA	No
5	207Q00000X	Family Medicine	0101256861	VIRGINIA	No
6	207Q00000X	Family Medicine	072607	GEORGIA	No
7	207Q00000X	Family Medicine	51945	TENNESSEE	No
8	207Q00000X	Family Medicine	16754	NEW HAMPSHIRE	No
9	207Q00000X	Family Medicine	47505	KENTUCKY	No
10	207Q00000X	Family Medicine	MD042677	DISTRICT OF COLUMBIA	No
11	207Q00000X	Family Medicine	E-10326	ARKANSAS	No
12	207Q00000X	Family Medicine	ME108274	FLORIDA	Yes

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	1083717565	OTHER	FLORIDA	VHN
2	14S8Z	OTHER	FLORIDA	BCBS
3	1083717565	OTHER	FLORIDA	MULTIPLAN
4	009602100	MEDICAID	FLORIDA
5	1083717565	OTHER	FLORIDA	TRICARE
6	P01574249	OTHER	FLORIDA	RAILROAD

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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