P Praxis·MD
● Active Type 1 · Individual

Jacqueline Corinne Gibson, CMA-CPT-GANOTARY

Technician, Pathology·Grovetown, GA· NPI 1770273112 · Enumerated 2023 · 3 years on NPI
Gibson is 1 of 2 technician, pathology providers in Grovetown and 1 of 307 in Georgia.
NPI age
3 years
Enumerated 2023-05-09
Primary specialty
Technician, Pathology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 307 active technician, pathology providers in Georgia.

NPI age
3 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-05Enumerated in NPPES
2023 2026

Where they practice

Practice location
6106 Independence Way
Grovetown, GA 308131206
📞 7062842077
Mailing address
6106 Independence Way
Grovetown, GA 308131206
📞 7062842077

Specialties

  • Technician, Pathology Primary
    Definition to come...
    GA license #GA-11412-75795GA license #N23101917 taxonomy 246RP1900X
  • Community Health Worker
    Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language,...
    taxonomy 172V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 307 Technician, Pathology providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related