Timothy B Gibson (NPI# 1104882802, PAC ID# 4789587098) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104882802 |
| PAC ID by PECOS | 4789587098 |
| Professional Enrollment ID | I20040715000757 |
| Full Name | Timothy B Gibson |
| Organization Legal Name | PRINCE AVENUE PRIMARY CARE, L.L.C. |
| Address |
892 Prince Ave Athens GA 30606-2724 |
| Phone Number | 7062272027 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4688668346 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110074 | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| 110006 | ST MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 892 Prince Ave, Athens, GA 30606-2724 | 7062272027 | PRINCE AVENUE PRIMARY CARE, L.L.C. |
| Organization Legal Name | PRINCE AVENUE PRIMARY CARE, L.L.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Gibson | Nurse Practitioner | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| William Donovan Delp | Family Medicine | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| Holly A Bonner | Nurse Practitioner | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| Street Address |
892 PRINCE AVE |
| City | ATHENS |
| State | GA |
| Zip | 30606-2724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James B Gibson | Nurse Practitioner | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| William Donovan Delp | Family Medicine | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| Holly A Bonner | Nurse Practitioner | Prince Avenue Primary Care, L.L.C. | 892 Prince Ave, Athens, GA 30606-2724 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Danielle Clayton | Physician Assistant | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| John F Grace | Psychologist, Clinical | 1 Huntingdon Rd, Suite 801, Athens, GA 30606 | |
| Jon L Forche | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Joel T Groft | Chiropractic | 623 N Milledge Ave, Suite A, Athens, GA 30606 | |
| Alexcis Thomson Ford | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Marcie Nicks | Nurse Practitioner | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Sarah A Huber | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Robert B Raybon | Obstetrics/gynecology | Advanced Gynecology PC | 1357 Oconee Connector, Athens, GA 30606 |
| Margaret S Brya | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Nadine Greer Forche' | Optometry | Five Points Optometrists, PC | 698 S Milledge Ave, Athens, GA 30606 |
| Find all physicians in zip 30606 | |||
| City | ATHENS |
| Zip Code | 30606 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATHENS + FAMILY MEDICINE |
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| 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.