DR. SUSAN M GIBSON MD NPI 1720194087

NPI Information

NPI: 1720194087
Provider Name: DR. SUSAN M GIBSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 3840 GAULT AVE N
FORT PAYNE, AL
ZIP 35967
Phone: (256) 844-4975

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NPI Details

DR. Susan M Gibson, MD is a family medicine in Fort Payne, AL. 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. Susan M Gibson, MD NPI is 1720194087. 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:

3840 GAULT AVE N
FORT PAYNE, AL
ZIP 35967-211
Phone: (256) 844-4975
Fax: (256) 844-4978

The NPI 1720194087 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.

Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
Blood glucose (sugar) level (HCPCS:82947)
Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
Hemoglobin a1c level (HCPCS:83036)
Hospital discharge day management, 30 minutes or less (HCPCS:99238)
Hospital discharge day management, more than 30 minutes (HCPCS:99239)

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/20/2012.

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	207Q00000X	Family Medicine		21115	ALABAMA	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	051544792	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
2	630302067	MEDICAID	ALABAMA
3	051544795	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
4	H00503	MEDICARE UPIN	ALABAMA
5	630308067	MEDICAID	ALABAMA
6	630306067	MEDICAID	ALABAMA
7	051544791	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
8	051544790	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
9	051544789	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
10	051544794	OTHER	ALABAMA	BLUE CROSS BLUE SHIELD
11	630307067	MEDICAID	ALABAMA
12	630309067	MEDICAID	ALABAMA
13	630303067	MEDICAID	ALABAMA

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: 11/21/2025

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