MICHELLE J. GIBSON, MD PLLC


Address: 5440 Watkins Dr, Suite B, Jackson, MS 39206-2034
Phone: 6013642726

MICHELLE J. GIBSON, MD PLLC (NPI# 1639352784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639352784
Entity Type Organization
Organization Name MICHELLE J. GIBSON, MD PLLC
Other Organization Name THE KIDZ CARE KLINIC
Practice Address 5440 Watkins Dr
Suite B
Jackson
MS 39206-2034
Practice Telephone 6013642726
Practice Fax Number 6013642731
Mailing Telephone 6013642726
Mailing Fax Number 6013642731
Enumeration Date 2007-12-12
Last Update Date 2007-12-12
Authorized Official Name DR. MICHELLE JEANETTE GIBSON (OWNER)
Authorized Official Telephone 6013642726
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center 15752 MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 00524231 05

Other Provider/Organization Names

Other Name Type Code
The Kidz Care Klinic Doing Business As Name - Organization

Office Location

Street Address 5440 WATKINS DR
SUITE B
City JACKSON
State MS
Zip Code 39206-2034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659366854 Michelle J Gibson Pediatrics 5440 Watkins Dr, Suite B, Jackson, MS 39206-2034 2005-09-13
1063479723 Sheryll Angela Vincent Allergy & Immunology 5440 Watkins Dr, Ste A, Jackson, MS 39206-2034 2006-04-27
1083671895 A & A Health Systems, Inc Clinic/Center 5440 Watkins Dr, Ste A, Jackson, MS 39206-2034 2006-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
Find all providers in zip 39206

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972150084 Wound Management Specialists, LLC Clinic/Center 1190 N State St Ste 2a, Jackson, MS 39202-2413 2019-08-22
1700449329 Cycle 8 Health Care, LLC Clinic/Center 2310 Highway 80 W Ste 2260, Jackson, MS 39204-2383 2019-04-18
1093286544 East Endocrine and Metabolism Pllc Clinic/Center 3829 Greentree Pl, Jackson, MS 39211-6737 2018-12-10
1760965206 Hunter Assets Holding LLC Clinic/Center 1035 W Mayes St, Jackson, MS 39213-6100 2018-09-11
1235634759 W A Foote Memorial Hospital Inc Clinic/Center 2200 Springport Rd Ste 230, Jackson, MI 49202-1432 2018-03-27
1336644897 W A Foote Memorial Hospital Inc Clinic/Center 3305 Spring Arbor Rd Ste 500, Jackson, MI 49203-3795 2018-03-27
1730684580 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 210, Jackson, MI 49202-1432 2018-03-26
1164927844 W. A. Foote Memorial Hospital, Inc. Clinic/Center 2200 Springport Rd Ste 800, Jackson, MI 49202-1432 2018-03-26
1225532120 Robert Greer Do, LLC Clinic/Center 5345 Farnsworth Dr, Jackson, MS 39211-4604 2018-03-23
1447761713 Celestial Health Creations Clinic/Center 7 Lakeland Cir Ste 300, Jackson, MS 39216-5022 2017-10-13
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39206

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Dataset Information

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.

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