MS. ERICKA CAMILLE GIBSON MD NPI 1598927980

NPI Information

NPI: 1598927980
Provider Name: MS. ERICKA CAMILLE GIBSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA
ZIP 30236
Phone: (770) 603-3649
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MS. Ericka Camille Gibson, MD is an obstetrics gynecology in Jonesboro, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MS. Ericka Camille Gibson, MD NPI is 1598927980. 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:

2400 MOUNT ZION PKWY
KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA
ZIP 30236-500
Phone: (770) 603-3649
Fax: (202) 448-1620

The enumeration date for this NPI number is 6/27/2008 and was last updated on 1/10/2022.

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	207V00000X	Obstetrics & Gynecology	MT192768	PENNSYLVANIA	No
2	207V00000X	Obstetrics & Gynecology	077001	GEORGIA	Yes
3	207V00000X	Obstetrics & Gynecology	MD040417	DISTRICT OF COLUMBIA	No

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: 5/5/2024

NPI Synchronization or Removal

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