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NPI 1497349435

Michael Eric Gibson

Contractor · Valdosta, GA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 9:52 am EDT

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Michael Eric Gibson is a health care provider (Contractor) in Valdosta, Georgia with National Provider Identifier (NPI) 1497349435. The NPI was issued on Feb 20, 2021 and the registry record was last updated on Feb 20, 2021.

Registry record

NPI
1497349435
Type
Individual (NPI-1)
Primary specialty
Contractor 171W00000X
Practice location
3899 Napa Dr
Valdosta, GA 31605-7954
Phone
(404) 423-1133
NPI issued
Feb 20, 2021
Registry record updated
Feb 20, 2021

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Contractor Primary171W00000X

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Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.