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Deactivated NPI 1417288093 Deactivated / Inactive NPI Male Practitioner

Edward Roy Gibson

Registered Nurse • Augusta, GA

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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, Edward Gibson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 21, 2010
NPI Deactivation Date June 19, 2025
Total Practice Duration ~15 Years of Practice (2010 – 2025)

Professional Overview & Biography Verified Profile Summary

Edward Gibson was a registered Registered Nurse practicing in Augusta, GA. Throughout an active medical career spanning 15 years, Edward Gibson provided care at the practice location at 2260 WRIGHTSBORO RD until profile deactivation on 2025-06-19.

Historical Medicare Part B clinical services included anesthesia for procedure for total knee joint replacement, anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on small and large bowel using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2260 Wrightsboro Rd

Augusta, GA 309044764

Telephone 8032782473
Associated Practice Facility / Clinic
🏢 Augusta Hospital Llc Facility NPI 1083616213

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
142 Specialists

Practicing in Augusta, GA (3397 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01402 Anesthesia for procedure for total knee joint replacement
45 45 $3800.00 $301.06
00811 Anesthesia for procedure on large bowel using an endoscope
29 29 $1524.14 $127.44
00813 Anesthesia for procedure on small and large bowel using an endoscope
24 24 $1725.00 $149.40
01638 Anesthesia for open or endoscopic total shoulder joint replacement
20 20 $4300.00 $356.63
01214 Anesthesia for total hip replacement
16 16 $3787.50 $307.87
00670 Anesthesia for procedure on spine and spinal cord
14 14 $5800.00 $475.85
01400 Anesthesia for other procedure or exam of knee joint using an endoscope
11 11 $2036.36 $165.94

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License GA RN150012

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1689725608

Doctor of Medicine (M.D.)

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 June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active September 29, 2016

NPI status registered as active in NPPES database

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Updated Practice Location September 29, 2016

Registered at 2260 WRIGHTSBORO RD, AUGUSTA, GA 309044764 (Tel: 8032782473)

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Updated Business Mailing Address September 29, 2016

Registered at 3903 BEAVER BROOK DR, MARTINEZ, GA 309074167 (Tel: 7066502053)

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Provider Name / Credentials Updated September 29, 2016

Recorded as EDWARD GIBSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2016

Registered Nurse (License #RN150012 in GA)

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Initial NPI Registration & Enumeration January 21, 2010

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: 1417288093
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2010
Last Update: September 29, 2016
Deactivation Date: June 19, 2025

Mailing Address

3903 Beaver Brook Dr

Martinez, GA 309074167

Phone: 7066502053

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.