DR. JUSTIN BRUCE GIBSON (NPI# 1336747989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336747989 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN BRUCE GIBSON |
| Credential | DC |
| Practice Address |
11 Charley Harper Dr Ste 140 Cartersville GA 30120-0027 |
| Mailing Address |
119 Bells Ferry Rd Ne White GA 30184-2852 |
| Practice Telephone | 9126141795 |
| Mailing Telephone | 9126141795 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR010435 | GA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CHIRO10435 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408105 | Justin Wade Gibson | Counselor | 309 Progress Dr, Burgaw, NC 28425-3280 | 2019-10-15 |
| 1649734997 | Justin George Gibson | Counselor | 100 N 5th St, Hugo, OK 74743-4005 | 2019-01-30 |
| 1184155244 | Justin Gibson | Student in an Organized Health Care Education/Training Program | 260 Stetson St, Suite 2200, Cincinnati, OH 45219-2498 | 2017-03-21 |
| 1922234525 | Justin Tarrance Gibson | Student in an Organized Health Care Education/Training Program | 2222 Bancroft Way, University of California, Berkeley, Berkeley, CA 94720-4301 | 2009-06-09 |
| 1588817415 | Justin Travis Gibson | Counselor | 3375 Us Rt 60 E, Huntington, WV 25705-2837 | 2008-10-23 |
| Street Address |
11 CHARLEY HARPER DR STE 140 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043818693 | 100 Percent Chiropractic Gibson LLC | Chiropractor | 11 Charley Harper Dr Ste 140, Cartersville, GA 30120-0027 | 2020-10-15 |
| 1336704469 | Russell E Andrews | Chiropractor | 1 Townsley Dr, Cartersville, GA 30120-2877 | 2019-05-03 |
| 1538510060 | B2l Chiro, LLC | Chiropractor | 807 West Ave Ste G, Cartersville, GA 30120-8230 | 2016-06-27 |
| 1558710046 | Callerina Natori | Chiropractor | 614 Manor Way, Cartersville, GA 30120-8501 | 2016-06-06 |
| 1306294541 | Gay Lyn Ferry | Chiropractor | 120 S Gilmer St Ste C, Cartersville, GA 30120-3631 | 2016-05-27 |
| 1235446113 | Patrick J Geist | Chiropractor | 109 N Erwin St, Suite A, Cartersville, GA 30120-3123 | 2010-09-13 |
| 1124259338 | Ward Family Chiropractic Center | Chiropractor | 1350 Joe Frank Harris Pkwy., Suite 101, Cartersville, GA 30120 | 2009-08-05 |
| 1437348729 | Donald Louis Longhurst | Chiropractor | 911 N Tennessee St, Ste 105, Cartersville, GA 30120-8514 | 2007-10-23 |
| 1609064716 | Proctor Clinic PC | Chiropractor | 1010 N Tennessee St, Suite 116, Cartersville, GA 30120-8525 | 2007-10-15 |
| 1427245208 | Jason Scott Ward | Chiropractor | 1350 Joe Frank Harris Pkwy Se, Suite 101, Cartersville, GA 30120-4201 | 2007-09-26 |
| Find all providers in CARTERSVILLE | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on DR. JUSTIN BRUCE 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.