JOHN BRIAN GIBSON (NPI# 1174151138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174151138 |
| Entity Type | Individual |
| Full Name | JOHN BRIAN GIBSON |
| Credential | MA, LPC, CPCS |
| Practice Address |
20 Herrell Rd Villa Rica GA 30180-5527 |
| Mailing Address |
181 Whetstone Way Villa Rica GA 30180-6941 |
| Practice Telephone | 7704563034 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC6018 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588929293 | John James Gibson | Pharmacist | 819 W Arapaho Rd, #57, Richardson, TX 75080-5045 | 2012-07-09 |
| 1164653390 | John W Gibson | Orthotist | 7271 Wurzbach Rd Ste 128, San Antonio, TX 78240-4718 | 2009-08-05 |
| 1114190667 | John Gibson | Counselor | 8132 Firestone Blvd # 272, Downey, CA 90241-4231 | 2008-04-04 |
| 1154511772 | John L. Gibson | Psychologist | 12930 James St Ste 130, Holland, MI 49424-8324 | 2007-07-30 |
| 1356498182 | John W Gibson | Social Worker | 3513 Ne 45th St, Suite 2w, Seattle, WA 98105-5660 | 2007-01-04 |
| 1336256528 | John H. Gibson | Acupuncturist | 339 N Alameda Blvd, Las Cruces, NM 88005-2543 | 2006-08-24 |
| 1477565232 | John Steven Gibson | Dentist | 1882 Rohrerstown Rd, Lancaster, PA 17601-2322 | 2006-08-12 |
| 1578509139 | John Ace Gibson | Dentist | 1062 East Lancaster Ave., Apt. 510-11, Bryn Mawr, PA 19010-1524 | 2006-06-21 |
| 1063763282 | John Allen Gibson | Registered Nurse | 1100 Mercer Ave, Decatur, IN 46733-2303 | 2012-09-27 |
| 1730442096 | John Bradley Gibson | Social Worker | 34 Murray St, Waterbury, CT 06710-1920 | 2012-06-21 |
| Street Address |
20 HERRELL RD |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679530430 | Golden Barnett IIi | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180 | 2006-04-27 |
| 1386276483 | Chelsesa Arissa Pounds | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2020-02-06 |
| 1013554534 | Allyson Moffatt | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2019-12-03 |
| 1295399988 | Kayla Michelle Arnold | Counselor | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2019-04-28 |
| 1083189328 | Thomas Stuckey | Nurse Practitioner | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2018-10-12 |
| 1922491695 | Arun K Kantamneni Md, Inc. | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2015-03-05 |
| 1306257126 | Camilo Leal | Psychiatry & Neurology | 20 Herrell Rd, Villa Rica, GA 30180 | 2014-05-14 |
| 1922346709 | Vidro Industries, LLC | Family Medicine | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2013-01-29 |
| 1073862751 | Amber Nickolina Tidwell | Nurse Practitioner | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2012-09-10 |
| 1427355106 | Vidro Industries, LLC | Family Medicine | 20 Herrell Rd, Villa Rica, GA 30180-5527 | 2011-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449931 | Constance Haralson | Counselor | 1076 Creekhead Dr, Villa Rica, GA 30180-3420 | 2020-08-24 |
| 1306454624 | Sarah Sistrunk | Counselor | 1010 Summer Cypress Dr, Villa Rica, GA 30180-6979 | 2020-07-22 |
| 1194359836 | Hope Professional Counseling Services | Counselor | 308 Night Fall Ter, Villa Rica, GA 30180-7724 | 2020-03-02 |
| 1003259334 | Journeys Counseling Center, LLC | Counselor | 200 S Carroll Rd, Villa Rica, GA 30180-2606 | 2013-04-17 |
| 1851632376 | Purpose Community Therapeutic Services, LLC | Counselor | 242 Fairfield Rd, Villa Rica, GA 30180-3804 | 2013-03-07 |
| 1508119371 | Ann Hamilton Brown | Counselor | 2545 Lakeside Dr, Villa Rica, GA 30180-4067 | 2012-10-18 |
| 1154618643 | Patrick T Mckay | Counselor | 203 Baywood Ln, Villa Rica, GA 30180-3856 | 2011-07-05 |
| 1902190911 | Ashley Norred Powell | Counselor | 514 W Bankhead Hwy Ste 100, Villa Rica, GA 30180-1737 | 2011-06-07 |
| 1013107960 | Jennifer Ann Forrister | Counselor | 231 S Carroll Rd, Villa Rica, GA 30180-2607 | 2007-07-26 |
| 1902930134 | Rebecca Ann Stanard | Counselor | 7358 South Mitchell Court, Villa Rica, GA 30180 | 2007-03-16 |
| Find all providers in VILLA RICA | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on JOHN BRIAN GIBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.