DR. JENNIFER CHILDERS GIBSON (OD) – Optometrist, NPI 1134974397

DR. JENNIFER CHILDERS GIBSON (OD) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-F41-TA-D37 (AL). The NPI Number for DR. JENNIFER CHILDERS GIBSON (OD) is 1134974397

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER CHILDERS GIBSON (OD)
NPI
1134974397
Phone
(205) 325-8620
Address
PO BOX 748267
Enumeration Date
22 April 2024
Last Update Date
10 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2053258620
Graduation Year
2024 (2 years ago)
PAC ID
1557897253
Group Practice PAC ID
9234023417
Professional Enrollment ID
I20241204003661
Address ID
AL354062806TU1030XPARK300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. JENNIFER CHILDERS GIBSON (OD)

  • PO BOX 748267

    ATLANTA, GA 303748267

    Phone: (205) 325-8620

    Fax: (205) 325-8547

    Type: Mailing

  • 700 18TH ST S

    BIRMINGHAM, AL 352331856

    Phone: (205) 325-8620

    Fax: (205) 325-8547

    Type: Location

  • 1720 University Blvd Ste 405

    Birmingham, AL 352331816

    Phone: (205) 488-0736

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$30
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: 2024-12-04

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
I20241204003661IOptometryALTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 9234023417View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YMI
-AL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
O P H T H A L M O L O G YAL
-AL
O P H T H A L M O L O G YAL

Reviews

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Frequently asked questions

What federal number belongs to DR. JENNIFER CHILDERS GIBSON (OD)?
The federal identifier for DR. JENNIFER CHILDERS GIBSON (OD) is NPI 1134974397.
Is DR. JENNIFER CHILDERS GIBSON (OD) currently active in the NPI registry?
CMS-published data lists DR. JENNIFER CHILDERS GIBSON (OD) as an active registrant.
Does DR. JENNIFER CHILDERS GIBSON (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. JENNIFER CHILDERS GIBSON (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JENNIFER CHILDERS GIBSON (OD)?
The page summarizes Atlanta, Georgia for DR. JENNIFER CHILDERS GIBSON (OD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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