| Michael Anthony Gibson Sr, MD | |
|
3969 S Cobb Dr Se, Suite 201, Smyrna, GA 30080-6358 | |
| (770) 438-2942 | |
| Not Available |
| Full Name | Michael Anthony Gibson Sr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 3969 S Cobb Dr Se, Smyrna, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750589891 | NPI | - | NPPES |
| 057975 | Other | GA | GA. LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 057975 (Georgia) | Primary |
| 208M00000X | Hospitalist | 057975 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Good Samaritan Health Center, Inc. | 4082509682 | 3 |
| Entity Name | The Good Samaritan Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629254008 PECOS PAC ID: 4082509682 Enrollment ID: O20040220000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Anthony Gibson Sr, MD 5000 Serenity Point Ln, Villa Rica, GA 30180-6963 Ph: (404) 580-7642 | Michael Anthony Gibson Sr, MD 3969 S Cobb Dr Se, Suite 201, Smyrna, GA 30080-6358 Ph: (770) 438-2942 |
Madhu Vishwanath, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 South Cobb Drive Se, Suite 205, Smyrna, GA 30080 Phone: 770-438-9723 Fax: 770-431-9733 | |
Dr. Chitra Jana Kanyadan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3903 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 | |
Paul Lawrence Douglass, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080 Phone: 470-956-9480 | |
Dr. Karina Khouri Belinfante, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se, Suite 110, Smyrna, GA 30080 Phone: 770-438-1002 Fax: 770-438-7223 | |
Kaushang A Gandhi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4441 Atlanta Rd Se Ste 213, Smyrna, GA 30080 Phone: 470-956-9480 Fax: 678-842-5539 | |
Dawn Marie Wolak, ANP-BC Internal Medicine Medicare: Medicare Enrolled Practice Location: 3903 S Cobb Dr Se, Suite 110, Smyrna, GA 30080 Phone: 404-778-6532 | |
Thomas John Demarco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3969 S Cobb Dr Se Ste 202, Smyrna, GA 30080 Phone: 770-432-5326 Fax: 770-432-5740 |