JONATHON ANDREW GIBSON – Family Nurse Practitioner, NPI 1205489804

JONATHON ANDREW GIBSON is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-140866 (AL). The NPI Number for JONATHON ANDREW GIBSON is 1205489804

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JONATHON ANDREW GIBSON
NPI
1205489804
Phone
(251) 800-4228
Address
PO BOX 86144
Enumeration Date
23 July 2019
Last Update Date
14 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053790174
Graduation Year
2019 (7 years ago)
PAC ID
3274965314
Group Practice PAC ID
7315288487
Professional Enrollment ID
I20191112001275
Address ID
AL352432939VE2409XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for JONATHON ANDREW GIBSON

  • Tower Plaza Mobile Home Park, Alliance, Box Butte County, Nebraska, 69301, United States

    MOBILE, AL 366896144

    Phone: (251) 800-4228

    Type: Mailing

  • Mobile Orthopedic Group, 6144, Airport Boulevard, Winthrop Square, Mobile, Mobile County, Alabama, 36608, United States

    MOBILE, AL 366083143

    Phone: (251) 476-5050

    Type: Location

  • 2409 ACTON RD STE 153

    VESTAVIA, AL 352432939

    Phone: (205) 379-0174

    Type: Mailing

  • 1715 N BUNNER ST

    FOLEY, AL 365352229

    Phone: (205) 379-0174

    Fax: (888) 219-8102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $456.

Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$456

General + Research + Ownership

Payments

13

Total payment records

General Amount

$456

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191112001275INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1439Injection, ferric carboxymaltose, 1 mg52,50038$0
J1306Injection, inclisiran, 1 mg11,64424$0
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less23286$0
96372Injection of drug or substance under skin or into muscle12255$0
J3489Injection, zoledronic acid, 1 mg8016$0
View full utilization report →

Insurance plans in this area (ZIP 36689)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315288487View full group profile
NameSpecialtyState
Nurse PractitionerAL
Emergency MedicineAL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How do payers reference JONATHON ANDREW GIBSON?
For JONATHON ANDREW GIBSON, use NPI 1205489804 as the unique 10-digit identifier.
Is JONATHON ANDREW GIBSON still an active registrant?
JONATHON ANDREW GIBSON carries an active NPI according to the public dataset.
What kind of doctor is JONATHON ANDREW GIBSON?
JONATHON ANDREW GIBSON is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JONATHON ANDREW GIBSON?
Directory geography for JONATHON ANDREW GIBSON centers on Mobile, Alabama.
When was this NPI issued?
Enumeration for JONATHON ANDREW GIBSON is noted as July 23, 2019 where the registry provides it.

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