Keisha Gibson

M.D. | Pediatric Nephrology | Female

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Complete Profile:

Keisha Gibson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Keisha Gibson
Credential :	M.D.
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Keisha Gibson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	101 Manning Dr, Rm 1107g W Wing Chapel Hill, NC, 27514-4220 United States
Phone Number :	919-966-1072

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1124233911
NPI Entity Type :	Individual
First Enrolment Date :	14 May, 2007
Last Updated On :	10 May, 2021

Medicare Participation:

Keisha Gibson participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1456423771
Medicare Enrollment ID :	I20080702000169
Primary Specialty :	Nephrology
Medical School :	University Of North Carolina At Chapel Hill School Of Medicine
Graduation Year :	2002
Accepts Medicare?	Yes. Keisha Gibson accepts medicare insurance.

Group Practice Association:

Keisha Gibson is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Keisha Gibson is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Unc Physicians Network	5496940546	685	1301 Central Dr Sanford, NC - 273304159 Ph: 9197189512	Yes
Unc Physicians Network	5496940546	685	940 Martin Luther King Jr Blvd Chapel Hill, NC - 275142601 Ph: 9199425123	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keisha Gibson are as mentioned. Primary taxonomy code for Keisha Gibson, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	2008-00780	NC
390200000X	Student in an Organized Health Care Education/Training Program	No

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	101 Manning Dr, Rm 1107g W Wing Chapel Hill, NC, 27514-4220 United States
Phone Number :	919-966-1072

Business Location:

Patients can refer following map for directions to Keisha Gibson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.