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

David Charles Gibson, DO

Individual provider Emergency Medicine Physician · NPI 1467741553

David Charles Gibson, DO is an Emergency Medicine in Hiram, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2011, 15 years ago. Practices with The Bortolazzo Group, LLC, a 92-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone: (470) 644-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 34-010859 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467741553
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2011
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address5665 New Northside Dr, Atlanta, GA 30328-5831

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2011 (15 years in practice)
Group practice The Bortolazzo Group, Llc — 92 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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