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

Mr. Kyle Steven Gibson

Individual provider Acute Care Nurse Practitioner · NPI 1073047478

Mr. Kyle Steven Gibson is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2016, 10 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

743 Spring St NE Trauma & Acute Care Surgery
Gainesville, GA 30501-3715
Phone: (770) 219-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN226432 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN226432 (GA)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence RN226432 (GA)

Record details

NPI number1073047478
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESMay 5, 2017
Mailing addressPo Box 742616, Atlanta, GA 30374-2616

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gainesville