MR. KYLE STEVEN GIBSON – Acute Care Nurse Practitioner, NPI 1073047478

MR. KYLE STEVEN GIBSON is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold a License No. RN226432 (GA). The NPI Number for MR. KYLE STEVEN GIBSON is 1073047478

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. KYLE STEVEN GIBSON
NPI
1073047478
Phone
Not provided
Address
PO BOX 742616
Enumeration Date
12 April 2017
Last Update Date
5 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702196000
Graduation Year
2016 (10 years ago)
PAC ID
5193095354
Group Practice PAC ID
6901898386
Professional Enrollment ID
I20170720000945
Address ID
GA305013715GA743XXNEST300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for MR. KYLE STEVEN GIBSON

  • Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States

    ATLANTA, GA 303742616

    Phone:

    Type: Mailing

  • Northeast Georgia Medical Center, 743, Spring Street Northeast, Gainesville, Hall County, Georgia, 30501, United States

    TRAUMA & ACUTE CARE SURGERY

    GAINESVILLE, GA 305013715

    Phone: (770) 219-3202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $763.

Total Amount is formed as General ($763) + Research ($0) + Ownership ($0) = $763.

Last reported payment date: 2024-07-27 • Largest payer in this snapshot: Aroa Biosurgery Incorporated ($359).

Total Amount

$763

General + Research + Ownership

Payments

17

Total payment records

General Amount

$763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-27

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: 2017-07-20

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
I20170720000945INurse PractitionerGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6344$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4227$0
99291Critical care, first 30-74 minutes1914$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1613$0
99238Hospital discharge day management, 30 minutes or less1515$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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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: 6901898386View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
-GA
-GA
A N E S T H E S I O L O G YGA
-GA
-GA
Physician AssistantGA
Nurse PractitionerGA
Surgical Oncology, General SurgeryNJ
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Can I cross-check MR. KYLE STEVEN GIBSON using NPI 1073047478?
NPI 1073047478 belongs to MR. KYLE STEVEN GIBSON; compare other details if you need extra assurance.
Is there an active status for MR. KYLE STEVEN GIBSON?
For scheduling context, MR. KYLE STEVEN GIBSON is shown as active in the registry.
What expertise is attributed to MR. KYLE STEVEN GIBSON?
MR. KYLE STEVEN GIBSON's specialty line reads Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. KYLE STEVEN GIBSON?
Directory geography for MR. KYLE STEVEN GIBSON centers on Atlanta, Georgia.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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