ANDREW KEVIN GIBSON PA-C NPI 1346211463

NPI Information

NPI: 1346211463
Provider Name: ANDREW KEVIN GIBSON, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
2 SHIRCLIFF WAY
SUITE 500
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 389-8861
Get Directions

Andrew Kevin Gibson, PA-C is a surgical physician assistant in Jacksonville, FL with 33 years of experience. Andrew Kevin Gibson, PA-C NPI is 1346211463. 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:

2 SHIRCLIFF WAY
SUITE 500
JACKSONVILLE, FL
ZIP 32204-753
Phone: (904) 389-8861
Fax: (904) 389-5820

The NPI 1346211463 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of gallbladder using an endoscope (HCPCS:47562)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 2/6/2014.

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	363AS0400X	Physician Assistant	Surgical	PA 2492	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	290731300	MEDICAID	FLORIDA
2	E0702W	MEDICARE PIN	FLORIDA

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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