Traci L Gibbs (NPI# 1104074210, PAC ID# 3577692227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104074210 |
| PAC ID by PECOS | 3577692227 |
| Professional Enrollment ID | I20100519000110 |
| Full Name | Traci L Gibbs |
| Organization Legal Name | GIBBS COMPREHENSIVE CARE LLC |
| Address |
2208 Hwy 39 N Meridian MS 39301-2605 |
| Phone Number | 6014822400 |
| Gender | F |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476850694 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251300 | LACKEY MEMORIAL HOSPITAL |
| 251315 | BAPTIST MEDICAL CENTER-LEAKE |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| 250151 | ALLIANCE HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 101 Reeves St, Bernice, LA 71222-4135 | 6016928997 | GIBBS COMPREHENSIVE CARE LLC |
| 1415 College Dr, Meridian, MS 39307-5345 | 6014834821125 | REGION TEN STATE OF MS |
| 2208 Hwy 39 N, Meridian, MS 39301-2605 | 6014822400 | GIBBS COMPREHENSIVE CARE LLC |
| 2208 Hwy 39 N, Meridian, MS 39301-2605 | BEHAVIORAL MEDICINE CLINIC, PA |
| Organization Legal Name | GIBBS COMPREHENSIVE CARE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corvell M Coburn | Clinical Social Worker | Gibbs Comprehensive Care LLC | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Street Address |
2208 HWY 39 N |
| City | MERIDIAN |
| State | MS |
| Zip | 39301-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corvell M Coburn | Clinical Social Worker | Gibbs Comprehensive Care LLC | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Sharon Ruthanne Davis | Nurse Practitioner | Behavioral Medicine Clinic, Pa | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Kelly H Smith | Clinical Social Worker | Behavioral Medicine Clinic, Pa | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Chandra R Brown | Nurse Practitioner | Behavioral Medicine Clinic, Pa | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Stephen Johnson | Clinical Social Worker | Behavioral Medicine Clinic, Pa | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Roshundia L Mckenzie | Nurse Practitioner | Behavioral Medicine Clinic, Pa | 2208 Hwy 39 N, Meridian, MS 39301-2605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
| Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
| Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Find all physicians in zip 39301 | |||
| City | MERIDIAN |
| Zip Code | 39301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Traci L Gibbs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.