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

Dr. Russell Gibson, MD

Individual provider Family Medicine Physician · NPI 1821048638

Dr. Russell Gibson, MD is a Family Practice in Maryville, Tennessee. Graduated from East Tennessee State University Quillen College of Medicine in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
37
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

129 Montgomery Ln
Maryville, TN 37803-5649
Phone: (865) 681-1224
Fax: (865) 681-5185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD18195 (TN)

Record details

NPI number1821048638
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 11, 2006
Last updated in NPPESJuly 8, 2007
Mailing address129 Montgomery Ln, Maryville, TN 37803-5649

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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