Gibson Medical PA
Gibson Medical PA is a healthcare organization registered as Internal Medicine Physician in St Augustine, FL, holding Type 2 (organization) NPI 1124625801 since 2020. The authorized official on file is Gregory Gibson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124625801 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Gibson Medical PA |
| Practice address | 307 ALCAZAR ST, St Augustine, FL, 32080 |
| Phone | 9044955269 |
| Enumeration date | 2020-10-06 |
| Last updated in NPPES | 2020-10-06 |
Authorized official
| Name | Gregory Gibson |
|---|---|
| Title | President |
| Phone | 9044955269 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Gibson Medical PA NPI: 1124625801 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 307 ALCAZAR ST, St Augustine, FL, 32080
Verify this record
Cross-check NPI 1124625801 against the authoritative CMS record: view Gibson Medical PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Gibson Medical PA?
What is the NPI number for Gibson Medical PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-10-06.