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

Mark Gibbs

Individual provider Family Nurse Practitioner · NPI 1306463930

Mark Gibbs is a Nurse Practitioner in Gainesville, Virginia. Qualified in 2020, 6 years ago. Practices with Renewal Dermatology and Medspa PC, a 16-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Licensed in
VA
In the registry since
2020
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Practice location Address checks out

7512 Gardner Park Dr
Gainesville, VA 20155-3414
Phone: (703) 753-9860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024179511 (VA)

Record details

NPI number1306463930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2020
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing address7512 Gardner Park Dr, Gainesville, VA 20155-3414

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Renewal Dermatology And Medspa Pc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville