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

Kelly Gibson, PA-C

Individual provider Medical Physician Assistant · NPI 1407197114

Kelly Gibson, PA-C is a Physician Assistant in Gonzales, Texas. Qualified in 2012, 14 years ago. Practices with Senior Psychcare of San Antonio I PLLC, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

228 Saint George St
Gonzales, TX 78629-3910
Phone: (839) 672-6511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAO8395 (TX)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1110177 (TX)

Record details

NPI number1407197114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2013
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Senior Psychcare Of San Antonio I Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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