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

Kaleb Joseph Gibbs, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1245712157

Kaleb Joseph Gibbs, FNP-BC is a Nurse Practitioner in Henderson, North Carolina. Qualified in 2018, 8 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
8
Licensed in
NC, NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone: (252) 438-4143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4420 Lake Boone Trl, Raleigh, NC 27607-7505 — (919) 784-7093

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5010955 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 343305 (NY)

Record details

NPI number1245712157
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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