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

Hollis Gibson, PA

Individual provider Physician Assistant · NPI 1841096385

Hollis Gibson, PA is a Physician Assistant in Watkinsville, Georgia. Qualified in 2025, 1 year ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1404 Shenandoah Dr
Watkinsville, GA 30677-8373
Phone: (770) 380-8404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1404 Shenandoah Dr, Watkinsville, GA 30677-8373 — (770) 380-8404

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1841096385
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 24, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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