DR. MICHELLE J GIBSON M.D.
NPI 1659366854
Pediatrics - Adolescent Medicine in Jackson, MS
NPI Status: Active since September 13, 2005
Contact Information
5440 WATKINS DR
SUITE B
JACKSON, MS
ZIP 39206
Phone: (601) 364-2726
Fax: (601) 364-2731
- Individual
- Female
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- CLIA Number: 25D1009307
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-30-2026
About MICHELLE GIBSON
This page provides the complete NPI Profile along with additional information for Michelle Gibson, a pediatrician established in Jackson, Mississippi with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1659366854 assigned on September 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 15752 (MS). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1659366854
- Provider Name
- DR. MICHELLE J GIBSON M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5440 WATKINS DR SUITE B JACKSON, MS 39206
- Location Phone
- (601) 364-2726
- Location Fax
- (601) 364-2731
- Mailing Address
- 5440 WATKINS DR SUITE B JACKSON, MS 39206
- Mailing Phone
- (601) 364-2726
- Mailing Fax
- (601) 364-2731
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-13-2005
- Last Update Date
- 08-12-2011
- Code Navigator
A pediatrician like Michelle Gibson is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 15752
- License State
- MS
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00119640 | MEDICAID (05) | MS | |
| 640947461 | OTHER (01) | MS | TAX ID NUMBER |
| H31951 | MEDICARE UPIN (02) | MS |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D1009307
- Facility Type
- Physician Office
- Certificate Effective Date
- October 01, 2024
- Certificate Expiration Date
- September 30, 2026
- Laboratory Director
- MICHELLE J. GIBSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Michelle Gibson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 3 | 6 | 6 | 8 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 6 | 6 | 12 | 8 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 6 + 6 + 1 + 2 + 8 + 1 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1659366854 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1083671895 | A & A HEALTH SYSTEMS, INC Organization | Clinic/Center | 5440 WATKINS DR STE A JACKSON, MS 39206 (601) 981-3636 |
| 1063479723 | DR. SHERYLL ANGELA VINCENT MD Individual | Allergy & Immunology | 5440 WATKINS DR STE A JACKSON, MS 39206 (601) 981-3636 |
| 1639352784 | MICHELLE J. GIBSON, MD PLLC Organization | Clinic/Center | 5440 WATKINS DR SUITE B JACKSON, MS 39206 (601) 364-2726 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659366854, enumerated in the NPI registry as an "individual" on September 13, 2005
The provider is located at 5440 Watkins Dr Suite B Jackson, Ms 39206 and the phone number is (601) 364-2726
The provider's speciality is Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Molina Healthcare, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 25D1009307 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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