Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083371538 Individual Practitioner Male Practitioner

Scott Alexander Gibson , LPN

Licensed Practical Nurse • Riverdale, GA

Professional Overview & Biography Verified Profile Summary

Scott Gibson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Riverdale, GA. Practice services are available at 277 MEDICAL WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

277 Medical Way

Riverdale, GA 302742522

Telephone 4702987236
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Riverdale, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Riverdale, GA (1401 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

CMS Verified: 2021-11-19
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN076640

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Robyn Goodart

Counselor - Addiction (Substance Use Disorder)

NPI 1063186039
Akili Penn

Licensed Practical Nurse

NPI 1225706914
Kate Rotimi-Samuel , RN

Registered Nurse

NPI 1538837224

Registered Nurse

Natacha Destra , LPN

Licensed Practical Nurse

NPI 1578230033

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2021

Registered at 277 MEDICAL WAY, RIVERDALE, GA 302742522 (Tel: 4702987236)

📍
Updated Business Mailing Address November 19, 2021

Registered at 10019 REISTERSTOWN RD FL 3, OWINGS MILLS, MD 211173902

👤
Provider Name / Credentials Updated November 19, 2021

Recorded as SCOTT GIBSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2021

Licensed Practical Nurse (License #LPN076640 in GA)

🟢
Initial NPI Registration & Enumeration November 19, 2021

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: 1083371538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2021
Last Update: November 19, 2021
Sole Proprietor: No

Mailing Address

10019 Reisterstown Rd Fl 3

Owings Mills, MD 211173902

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.