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

Individual provider Adult Health Nurse Practitioner · NPI 1518326743

Larry Ryan Gibson, NURSEPRACTITIONER is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2015, 11 years ago. Practices with Urology Specialists of the Carolinas PLLC, a 75-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

509 N Elam Ave 2nd Fl
Greensboro, NC 27403-1118
Phone: (336) 274-1114
Fax: (336) 232-5325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 232904 (NC)

Record details

NPI number1518326743
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 16, 2016
Last updated in NPPESFebruary 16, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Urology Specialists Of The Carolinas Pllc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greensboro