{"npi":"1265546055","type":"NPI-1","status":"active","name":{"display":"Mrs. Gwendolyn Gibson MD","other":[],"first":"GWENDOLYN","last":"GIBSON","middle":"OCTAVIA","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"VA","license":"0101-057103"}]},"addresses":[{"purpose":"LOCATION","street_1":"30 S MAIN ST","city":"CHATHAM","state":"VA","postal_code":"245315436","country_code":"US","phone":"4344324471","fax":"4344323555"},{"purpose":"MAILING","street_1":"705 MAIN ST","city":"DANVILLE","state":"VA","postal_code":"245411803","country_code":"US","phone":"4347913630","fax":"4347914088"}],"license":{"state":"VA","number":"0101-057103"},"identifiers":[{"type_code":"01","label":"Other","value":"234086","state":null,"issuer":"ANTHEM - HANOVER COUNTY"},{"type_code":"05","label":"Medicaid","value":"6730043","state":"VA","issuer":null},{"type_code":"01","label":"Other","value":"0101-057103","state":"VA","issuer":"STATE LICENSE"},{"type_code":"01","label":"Other","value":"179099","state":null,"issuer":"ANTHEM - HENRICO COUNTY"},{"type_code":"01","label":"Other","value":"288630","state":null,"issuer":"SOUTHERN HEALTH"},{"type_code":"01","label":"Other","value":"3325244","state":null,"issuer":"CIGNA"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-18","last_updated":"2026-05-12","_meta":{"source":"NPPES","snapshot_date":"2026-05-12","doc_url":"https://findmynpi.com/api"}}