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Deactivated NPI 1992348551 Deactivated / Inactive NPI Male Practitioner

Charles C Gibson

Case Manager/Care Coordinator • Warren, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Gibson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2019
NPI Deactivation Date January 22, 2026
Total Practice Duration ~7 Years of Practice (2019 – 2026)

Professional Overview & Biography Verified Profile Summary

Charles Gibson was a registered Case Manager/Care Coordinator practicing in Warren, AR. Throughout an active medical career spanning 7 years, Charles Gibson provided care at the practice location at 1404 E CHURCH ST until profile deactivation on 2026-01-22.

Practice Location & Contact Primary Location

Practice Address

1404 E Church St

Warren, AR 71671

Telephone 8702266955
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Warren, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
18 Specialists

Practicing in Warren, AR (11561 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sabrina York

Case Manager/Care Coordinator

NPI 1003941352
Evelyn Savage

Case Manager/Care Coordinator

NPI 1043463458
Rodney Domineck

Case Manager/Care Coordinator

NPI 1154456499

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2026

Record deactivated on January 22, 2026

NPI Profile Active October 25, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2019

Registered at 1404 E CHURCH ST, WARREN, AR 71671 (Tel: 8702266955)

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Updated Business Mailing Address October 25, 2019

Registered at 790 ROBERTS DR, MONTICELLO, AR 716555723 (Tel: 8707235324)

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Provider Name / Credentials Updated October 25, 2019

Recorded as CHARLES GIBSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration October 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992348551
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2019
Last Update: October 25, 2019
Deactivation Date: January 22, 2026

Mailing Address

790 Roberts Dr

Monticello, AR 716555723

Phone: 8707235324

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.