P Praxis·MD
● Active Type 1 · Individual

Russell Scott Gibson, MR

Radiologic Technologist·MacOn, GA· NPI 1538479043 · Enumerated 2010 · 15 years on NPI
Gibson is 1 of 8 radiologic technologist providers in MacOn and 1 of 27 in Georgia.
NPI age
15 years
Enumerated 2010-10-18
Primary specialty
Radiologic Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-10-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 27 active radiologic technologist providers in Georgia.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Practice location
1504 Hardeman Ave, Suite B
MacOn, GA 312011441
📞 4787453135
Mailing address
117 Dovecot Dr
Warner Robins, GA 310888541
📞 4784424606

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam...
    GA license #364491 taxonomy 2471M1202X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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