| Dr William Bryan Gibboney, DNP, FNP-C, ACNP-BC | |
|
1434 Central Ave E, Wiggins, MS 39577-9602 | |
| (228) 436-1191 | |
| Not Available |
| Full Name | Dr William Bryan Gibboney |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 1434 Central Ave E, Wiggins, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225202864 | NPI | - | NPPES |
| 01030384 | Medicaid | MS | |
| 512I500588 | Other | MS | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R861831 (Mississippi) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | R861831 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Davis General Hospital | Prentiss, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rh Hospitalist Medicine Of Walthall General Llc | 2365881091 | 9 |
| Rh Hospitalist Medicine Of Jefferson Davis Llc | 6103265145 | 7 |
| Orange Grove Urgent Care | 6103978721 | 10 |
| Maxem Health Urgent Care Slidell | 4880959378 | 4 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Entity Name | Covington County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518260330 PECOS PAC ID: 4183517253 Enrollment ID: O20040203000816 |
| Entity Name | Magee Benevolent Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225157258 PECOS PAC ID: 3678466463 Enrollment ID: O20040205000400 |
| Entity Name | South Mississippi Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750308250 PECOS PAC ID: 3173528080 Enrollment ID: O20060928000195 |
| Entity Name | Keystone Medical Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691059 PECOS PAC ID: 7618075177 Enrollment ID: O20070606000447 |
| Entity Name | Picayune Urgent Care Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780723502 PECOS PAC ID: 3072612175 Enrollment ID: O20070629000243 |
| Entity Name | Orange Grove Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831330661 PECOS PAC ID: 6103978721 Enrollment ID: O20090713000442 |
| Entity Name | Ocean Springs Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871808022 PECOS PAC ID: 0244426195 Enrollment ID: O20101118000444 |
| Entity Name | Pascagoula Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235442872 PECOS PAC ID: 8527241207 Enrollment ID: O20110318000278 |
| Entity Name | Petal Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982908877 PECOS PAC ID: 9133303811 Enrollment ID: O20110404000578 |
| Entity Name | Keystone Hospitalist Services Of Ms Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932447968 PECOS PAC ID: 7517103864 Enrollment ID: O20130411000527 |
| Entity Name | Hattiesburg Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062 |
| Entity Name | Keystone Medical Services Of Gulfport Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881070183 PECOS PAC ID: 7113221011 Enrollment ID: O20160215000517 |
| Entity Name | Hospitalist Services Of Meridian Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639629777 PECOS PAC ID: 3274818042 Enrollment ID: O20170316002383 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Entity Name | Maxem Health Urgent Care Magee |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235669136 PECOS PAC ID: 9537419643 Enrollment ID: O20180912000183 |
| Entity Name | Maxem Health Urgent Care Mccomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235619479 PECOS PAC ID: 6305181959 Enrollment ID: O20181231000649 |
| Entity Name | Medical Services Of Meridian Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174095988 PECOS PAC ID: 7315285376 Enrollment ID: O20190218000483 |
| Entity Name | Maxem Health Urgent Care Diberville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265991608 PECOS PAC ID: 1759624968 Enrollment ID: O20190622000032 |
| Entity Name | Grenada Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194388082 PECOS PAC ID: 2163854225 Enrollment ID: O20191112001896 |
| Entity Name | Rh Hospitalist Medicine Of Marion General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801660170 PECOS PAC ID: 2567815384 Enrollment ID: O20240129002254 |
| Entity Name | Rh Emergency Medicine Of Perry County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740058650 PECOS PAC ID: 8022461573 Enrollment ID: O20240131002979 |
| Entity Name | Rh Emergency Medicine Of Highland Community Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033987946 PECOS PAC ID: 4587017918 Enrollment ID: O20240201000844 |
| Entity Name | Rh Emergency Medicine Of Pearl River Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265206544 PECOS PAC ID: 9032562384 Enrollment ID: O20240202000443 |
| Entity Name | Rh Hospitalist Medicine Of Highland Community Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841068756 PECOS PAC ID: 8022451038 Enrollment ID: O20240207000363 |
| Entity Name | Rh Hospitalist Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053173237 PECOS PAC ID: 2365881091 Enrollment ID: O20240415002150 |
| Entity Name | Rh Emergency Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356103527 PECOS PAC ID: 4789023201 Enrollment ID: O20240417001265 |
| Entity Name | Rh Emergency Medicine Of Walthall General Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336901511 PECOS PAC ID: 7517306830 Enrollment ID: O20240419001361 |
| Entity Name | Rh Hospitalist Medicine Of Jefferson Davis Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174385355 PECOS PAC ID: 6103265145 Enrollment ID: O20240423003254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Bryan Gibboney, DNP, FNP-C, ACNP-BC 6699 Old Fort Bayou Rd, Ocean Springs, MS 39564-7987 Ph: (228) 872-4349 | Dr William Bryan Gibboney, DNP, FNP-C, ACNP-BC 1434 Central Ave E, Wiggins, MS 39577-9602 Ph: (228) 436-1191 |
James Jason Rogers, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 | |
Hannah Leigh Fore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6653 | |
Charles Ray Strange Iii, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1130 Frontage Dr W, Wiggins, MS 39577 Phone: 601-716-8012 Fax: 601-716-8013 | |
Ms. Rebecca Harris, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6700 Fax: 601-928-6731 | |
Lycel Parmosa Nall, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 87 S Mcgregor Rd, Wiggins, MS 39577 Phone: 601-716-5189 | |
Mrs. Glynnis D Randall, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193 |