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

Jonathan Sean Gibson, MD

Individual provider Internal Medicine Physician · NPI 1588841639

Jonathan Sean Gibson, MD is a Cardiovascular Disease (Cardiology) in Atlanta, Georgia. Qualified in 2006, 20 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.

Years since qualifying
20
Licensed in
GA, TN
In the registry since
2008
Specialties on file
3
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

20 Glenlake Pkwy Glenlake Medical Ofc
Atlanta, GA 30328-3473
Phone: (404) 365-0966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 068164 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 002141 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MD0000045295 (TN)

Record details

NPI number1588841639
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2008
Last updated in NPPESJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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