Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kyle Steven Gibson

Individual provider Acute Care Nurse Practitioner · NPI 1073047478

Mr. Kyle Steven Gibson is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2016, 10 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

743 Spring St NE Trauma & Acute Care Surgery
Gainesville, GA 30501-3715
Phone: (770) 219-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN226432 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN226432 (GA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence RN226432 (GA)

Record details

NPI number1073047478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESMay 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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