Individual
DR. ELMER RICKEY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
49 CLEVELAND ST 310, CROSSVILLE, TN 38555-2854
(931) 787-1232
(931) 787-1228
Mailing address
49 CLEVELAND ST 310, CROSSVILLE, TN 38555-2854
(931) 787-1232
(931) 787-1228
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35733
TN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35733
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-1779467
TAX ID
—
05
—
3382060
—
TN
01
—
4042486
TENNCARE SELECT NUMBER
TN
01
—
4252798
BC/BS OF TN
TN
Enumeration date
05/23/2005
Last updated
01/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us