MRS. MARTHA KRICKEL GIBBS (NPI# 1548274582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548274582 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA KRICKEL GIBBS |
| Credential | NP |
| Practice Address |
Southwire Family Medical Ctr 1128 Southpark Street Carrollton GA 30119-0001 |
| Mailing Address |
19412 Highway 46 P.o Box 178 Ranburne AL 36273-3505 |
| Practice Telephone | 7708360870 |
| Practice Fax Number | 7708361837 |
| Mailing Telephone | 7708360870 |
| Mailing Fax Number | 7708361837 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
050776 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376027722 | Martha Gibbs | Nurse Practitioner | Affinity Clinic/west Campus, 2225 Us Hwy 41 North, Tifton, GA 31794 | 2018-09-21 |
| 1730468323 | Martha Carolyn Gibbs | Licensed Practical Nurse | 2463 Monterey Dr, Sidney, NE 69162-2353 | 2011-08-12 |
| Street Address |
SOUTHWIRE FAMILY MEDICAL CTR 1128 SOUTHPARK STREET |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30119-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952427866 | Julie R. Strickland | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-22 |
| 1831221464 | Loree Johnson Robinson | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-09 |
| 1649300021 | Candler Lindsey Walls Jr. | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
| 1326178633 | Pam J Gordon | Pharmacist | 1128 S Park St, Carrollton, GA 30119-0001 | 2007-03-06 |
| 1669536835 | Daniel A Williams | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
| 1437213709 | Meridian Corporate Healthcare of Georgia PC | Family Medicine | 1128 S Park St, Carrollton, GA 30119-4450 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205753 | Pickens County Primary Care PC | Clinic/Center | 99 Commerce Avenue, Carrollton, AL 35447 | 2020-11-06 |
| 1871194753 | Jennifer Renee Miller | Social Worker | 4645 Plano Pkwy Apt 9303, Carrollton, TX 75010-4963 | 2020-11-05 |
| 1629679147 | Magdoleen Awad | Nurse Practitioner | 1602 Morning Dove Ct, Carrollton, TX 75007-1462 | 2020-11-02 |
| 1942800842 | Arsalan Ahmed | Pharmacy Technician | 1801 Addington Dr, Carrollton, TX 75007-3009 | 2020-10-29 |
| 1558960062 | Jessica Pasquale | Registered Nurse | 1206 Rooney Ln, Carrollton, TX 75007-1054 | 2020-10-26 |
| 1114526969 | Green Oaks Physical Therapy Limited Partnership | Physical Therapist | 2710 N Josey Ln Ste 301, Carrollton, TX 75007-5400 | 2020-10-22 |
| 1598364390 | Majoreactions LLC | Specialist | 1628 W Hebron Pkwy Ste 103, Carrollton, TX 75010-6311 | 2020-10-22 |
| 1477152809 | Wellovation LLC | Counselor | 1220 W Trinity Mills Rd, Carrollton, TX 75006-1303 | 2020-10-16 |
| 1245838358 | Hillpoint Homecare Inc | In Home Supportive Care | 2245 Keller Way Ste 370, Carrollton, TX 75006-2515 | 2020-10-12 |
| 1639777899 | White Coat Sciences LLC | Clinical Medical Laboratory | 315 Bankhead Hwy Ste A, Carrollton, GA 30117-2487 | 2020-10-11 |
| Find all providers in CARROLLTON | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583531 | Tessy M. John | Nurse Practitioner | 1656 Audubon Ct, Carrollton, TX 75010-2145 | 2020-09-16 |
| 1619589769 | Hyo Sook Choi | Nurse Practitioner | 2324 Old Denton Rd Ste 100, Carrollton, TX 75006-1440 | 2020-08-20 |
| 1861001000 | Allwell Health Care | Nurse Practitioner | 1001 E Hebron Pkwy Ste 118-297, Carrollton, TX 75010-1002 | 2020-07-23 |
| 1114536364 | Gloria Oluchi Ikonne | Nurse Practitioner | 1001 East Hebron Pkwy Suite 118-297, Carrollton, TX 75010-1015 | 2020-07-23 |
| 1851909717 | Antoinae Hawkins | Nurse Practitioner | 1110 E Branch Hollow Dr Apt 356, Carrollton, TX 75007-1072 | 2020-07-16 |
| 1770106429 | Rhema Healthcare Services | Nurse Practitioner | 1420 Valwood Pkwy Ste No20170a, Carrollton, TX 75006-8312 | 2020-05-28 |
| 1255968004 | Eunjung Kim | Nurse Practitioner | 4444 Saukenuk Ln, Carrollton, TX 75010-1203 | 2020-03-23 |
| 1124660063 | Jenna Brooke Pugh | Nurse Practitioner | 2160 County Road 130, Carrollton, MS 38917-5731 | 2019-10-11 |
| 1760023972 | Amy Rowell | Nurse Practitioner | 150 Clinic Ave Ste 201, Carrollton, GA 30117-4402 | 2019-09-30 |
| 1083270557 | Ray Thomas | Nurse Practitioner | 1033 Dame Carol Way, Carrollton, TX 75010-2357 | 2019-05-10 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30119 |
Please comment or provide details below to improve the information on MRS. MARTHA KRICKEL GIBBS.
| 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.