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

Mrs. Cristie Elvin Gibson, PA

Individual provider Physician Assistant · NPI 1871887471

Mrs. Cristie Elvin Gibson, PA is a Physician Assistant in Kernersville, North Carolina. Qualified in 2000, 26 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Licensed in
NC
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1730 Kernersville Medical Pkwy Ste 104
Kernersville, NC 27284
Phone: (336) 765-5470
Fax: (336) 499-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 114 Charlois Blvd, Winston Salem, NC 27103-1522 — (336) 765-5470

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 103062 (NC)

Record details

NPI number1871887471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 1, 2011
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kernersville