IndividualActive
Michelle Gibson, M.D.
NPI 1659366854 · Pediatric Adolescent Medicine Physician · Jackson, MS
Provider details
- NPI number
- 1659366854
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 15752 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5440 Watkins Dr
Suite B
Jackson, MS 39206-2034
Phone: (601) 364-2726
Fax: (601) 364-2731
Street-level locationGet directions
Mailing address
5440 Watkins Dr
Jackson, MS 39206-2034
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2011-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.