Persephone Hannah Gibson, is a
Counselor based in Dewy Rose, Georgia. Persephone Hannah Gibson is licensed to practice in Virginia (license number 0704017698) and her current practice location is
1200 Coldwater Rd Nw, Dewy Rose, Georgia. She can be reached at her office (for appointments etc.) via phone at
(540) 305-9343.
NPI number for Persephone Hannah Gibson is 1861283293 and her current mailing address is 1200 Coldwater Rd Nw, Dewy Rose, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861283293.
Healthcare Provider's Profile
Full Name | Persephone Hannah Gibson |
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Gender | Female |
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Speciality | Counselor |
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Location | 1200 Coldwater Rd Nw, Dewy Rose, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861283293
- Provider Enumeration Date: 05/15/2025
- Last Update Date: 05/15/2025
Medical Identifiers
Medical identifiers for Persephone Hannah Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861283293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 0704017698 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Persephone Hannah Gibson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Persephone Hannah Gibson, 1200 Coldwater Rd Nw, Dewy Rose, GA 30634-2511 Ph: (540) 305-9343 | Persephone Hannah Gibson, 1200 Coldwater Rd Nw, Dewy Rose, GA 30634-2511 Ph: (540) 305-9343 |
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