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

Individual provider Speech-Language Pathologist · NPI 1760551568

Jacqueline B. Gibbons, PA is a Physician Assistant in Pinehurst, North Carolina. Qualified in 2002, 24 years ago. Practices with Fhpg LLC, a 197-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
24
Licensed in
NC, SC
In the registry since
2006
Specialties on file
3
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 Partly verified

Some contact details are missing from the federal record.

One Page Rd
Pinehurst, NC 28374
Phone: (910) 295-6868
Fax: (910) 295-1514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 0010-01257 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 8092 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 772 (SC)

Record details

NPI number1760551568
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJuly 26, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Fhpg Llc — 197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pinehurst