GLENN GREGORY GIBBONS (MD) – Family Medicine Physician, NPI 1053308874

GLENN GREGORY GIBBONS (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. E3378 (AR). The NPI Number for GLENN GREGORY GIBBONS (MD) is 1053308874

Main info

Male
Name
GLENN GREGORY GIBBONS (MD)
NPI
1053308874
Phone
(479) 709-7399
Address
PO BOX 402319
Enumeration Date
6 October 2005
Last Update Date
11 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GLENN GREGORY GIBBONS (MD)

  • PO BOX 402319

    ATLANTA, GA 303842319

    Phone: (479) 709-7399

    Fax: (479) 709-7053

    Type: Mailing

  • 1480, West Center Street, Greenwood, Sebastian County, Arkansas, 72936, United States

    GREENWOOD, AR 729363449

    Phone: (479) 996-5585

    Fax: (479) 996-5386

    Type: Location

  • 811 N B ST

    FORT SMITH, AR 729012129

    Phone: (479) 480-4850

    Fax: (479) 480-4833

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 90 Open Payments records for all available years, with a total value of $49,698.

Total Amount is formed as General ($49,698) + Research ($0) + Ownership ($0) = $49,698.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: CSL Plasma Inc. ($49,685).

Total Amount

$49,698

General + Research + Ownership

Payments

90

Total payment records

General Amount

$49,698

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 30384)

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Reviews

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Frequently asked questions

What federal number belongs to GLENN GREGORY GIBBONS (MD)?
The federal identifier for GLENN GREGORY GIBBONS (MD) is NPI 1053308874.
Is GLENN GREGORY GIBBONS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is GLENN GREGORY GIBBONS (MD)?
The page reflects Family Medicine Physician for GLENN GREGORY GIBBONS (MD). Clinical services aligned with this taxonomy classification.
Where is GLENN GREGORY GIBBONS (MD)'s primary listing?
We display Atlanta, Georgia because that is what the record indicates for GLENN GREGORY GIBBONS (MD).
How can I contact GLENN GREGORY GIBBONS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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