JONATHAN SEAN GIBSON (NPI# 1588841639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588841639 |
| Entity Type | Individual |
| Full Name | JONATHAN SEAN GIBSON |
| Credential | MD |
| Practice Address |
20 Glenlake Pkwy Glenlake Medical Office Atlanta GA 30328 |
| Mailing Address |
3495 Piedmont Road, Ne Nine Piedmont Center Atlanta GA 30305 |
| Practice Telephone | 4043650966 |
| Mailing Telephone | 4043647070 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 002141 | GA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
068164 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MD0000045295 | TN | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407204993 | Jonathan David Gibson | Technician, Other | 43 Jean Ct, Essexville, MI 48732-9407 | 2016-05-25 |
| 1417495771 | Jonathan Gibson | Community Health Worker | 282 Sheppard St, Suite B, Minden, LA 71055-4205 | 2017-02-07 |
| 1245686161 | Jonathan Curtis Gibson | Nurse Practitioner | 330 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506-1267 | 2016-05-10 |
| 1386009363 | Jonathan Gibson | Nurse Anesthetist, Certified Registered | 3901 S 7th St, Terre Haute, IN 47802-5709 | 2015-12-17 |
| 1376833046 | Jonathan Bradford Gibson | Obstetrics & Gynecology | 9450 S 1300 E, Sandy, UT 84094-5555 | 2011-04-14 |
| 1740579820 | Jonathan Thomas Gibson | Family Medicine | 1247 Rickert Dr, Suite 201, Naperville, IL 60540-1008 | 2011-03-29 |
| Street Address |
20 GLENLAKE PKWY GLENLAKE MEDICAL OFFICE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487655528 | Thomas Wilson Phillips | Radiology | 20 Glenlake Pkwy, Radiation Oncology, Atlanta, GA 30328 | 2005-08-10 |
| 1659998177 | Jamie Elizabeth Coates | Pharmacist | 20 Glenlake Pkwy, Atlanta, GA 30328-3431 | 2020-06-30 |
| 1891335014 | Jenna R Van Zelfden | Nurse Practitioner | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2020-01-15 |
| 1346801362 | Chisom Chijioke Odogwu | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2019-06-21 |
| 1790269579 | Lauren Erin Holcomb | Physician Assistant | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2018-09-18 |
| 1528592094 | Kurtis Bertram | Podiatrist | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2017-04-12 |
| 1598111536 | Tiffany Casper | Advanced Practice Midwife | 20 Glenlake Pkwy, Atlanta, GA 30328 | 2016-05-09 |
| 1417343120 | Kaiser Foundation Health Plan of Georgia, Inc. | Pharmacy | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2015-04-09 |
| 1538419726 | James Joseph Weigel | Social Worker | 20 Glenlake Pkwy, Behavioral Health, Atlanta, GA 30328 | 2012-09-14 |
| 1053674903 | Yi-jou Tsai | Psychiatry & Neurology | 20 Glenlake Pkwy, Atlanta, GA 30328-3473 | 2012-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013571033 | Norihiko Kamioka | Internal Medicine | 1364 Clifton Rd Ne Ste D422, Atlanta, GA 30322-1059 | 2019-04-24 |
| 1265798763 | Sulay Pankaj Patel | Internal Medicine | 101 Woodruff Circle Wmb 1013, Atlanta, GA 30322 | 2012-04-09 |
| 1073879573 | Ozlem Bilen | Internal Medicine | Emory University Cardiovascular, 101 Woodruff Circle, Wmb 3004, Atlanta, GA 30322-0001 | 2012-04-09 |
| 1881983963 | Roshin C Mathew | Internal Medicine | 6115 Peachtree Dunwoody Rd Ste 300, Atlanta, GA 30328-5695 | 2011-03-29 |
| 1174844971 | Vibhav Shyam Rangarajan | Internal Medicine | 95 Collier Rd Nw Ste 2065, Atlanta, GA 30309 | 2010-06-15 |
| 1356668081 | Benjamin David Demoss | Internal Medicine | 95 Collier Rd Nw Ste 3000, Atlanta, GA 30309-1721 | 2010-04-20 |
| 1437329810 | Heather Bagwell Westmoreland | Internal Medicine | 1110 W Peachtree St Nw Ste 900, Atlanta, GA 30309-3609 | 2008-03-03 |
| 1003093600 | Matthew J. Wilson | Internal Medicine | 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 | 2008-01-25 |
| 1154505238 | Danny John Eapen | Internal Medicine | 5671 Peachtree Dunwoody Road, Suite 300b, Atlanta, GA 30342-5000 | 2007-12-24 |
| 1740494087 | Sarah J. Rinehart | Internal Medicine | 275 Collier Rd, Nw, Suite 500, Atlanta, GA 30309-1740 | 2007-05-09 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on JONATHAN SEAN 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.