KENT TAYLOR GIBSON (MD) – Internal Medicine Physician, NPI 1184210262

KENT TAYLOR GIBSON (MD) is a healthcare provider. based in Macon, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 97722 (GA). The NPI Number for KENT TAYLOR GIBSON (MD) is 1184210262

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KENT TAYLOR GIBSON (MD)
NPI
1184210262
Phone
Not provided
Address
777 HEMLOCK STREET
Enumeration Date
14 December 2020
Last Update Date
11 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294383300
Graduation Year
2021 (5 years ago)
PAC ID
5193129781
Group Practice PAC ID
4284951542
Professional Enrollment ID
I20241018003143
Address ID
GA317070205AL2402XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KENT TAYLOR GIBSON (MD)

  • 777 HEMLOCK STREET

    MSC 140

    MACON, GA 312012102

    Phone:

    Type: Mailing

  • 2402 OSLER CT

    ALBANY, GA 317070205

    Phone: (229) 438-3300

    Fax: (229) 438-3384

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $725.

Total Amount is formed as General ($725) + Research ($0) + Ownership ($0) = $725.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PFIZER INC. ($123).

Total Amount

$725

General + Research + Ownership

Payments

39

Total payment records

General Amount

$725

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2024-10-18

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
I20241018003143IInternal MedicineGATBD

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 31201)

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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: 4284951542View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Diagnostic RadiologyGA
Nurse PractitionerGA
Internal MedicineGA
Internal Medicine, Allergy/ImmunologyGA
General PracticeGA
Nurse PractitionerGA
Physician AssistantGA

Reviews

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Frequently asked questions

What unique ID ties claims to KENT TAYLOR GIBSON (MD)?
NPI 1184210262 is assigned to KENT TAYLOR GIBSON (MD) under the national enumeration system.
Does this profile mean KENT TAYLOR GIBSON (MD) is currently active?
Yes — KENT TAYLOR GIBSON (MD) appears active in the national provider directory.
What field does KENT TAYLOR GIBSON (MD) work in?
You can think of KENT TAYLOR GIBSON (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KENT TAYLOR GIBSON (MD)?
The page summarizes Macon, Georgia for KENT TAYLOR GIBSON (MD); expand the address list for detail.
How can I contact KENT TAYLOR GIBSON (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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