Individual Healthcare Provider
Traci Lynn Gibbs, FPMHNP-BC/LCSW
Provider's NPPES record last updated: September 14, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1104074210
- Primary Specialty
- Nurse Practitioner — Psychiatric/Mental Health
- Practice Location
- Meridian, Mississippi
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 5:08 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LP0808X Social Worker
Clinical
Behavioral Health & Social Service Providers
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Taxonomy code 1041C0700X
Provider-Reported License Information
- Nurse Practitioner (Mississippi)
- R873052
- Social Worker (Mississippi)
- C5063
- Nurse Practitioner (Louisiana)
- AP09407
- Nurse Practitioner (Arizona)
- AP7757
- Nurse Practitioner (Alaska)
- 1451
Practice Locations
Practice Location
1054 Highway 19 S
Meridian, Mississippi 39301-8205
Phone: (601) 531-3200
Additional Practice Location
101 Reeves St
Bernice, Louisiana 71222-4135
Phone: (318) 285-7600
Record Information
- Enumeration Date
- September 3, 2008
- Provider's NPPES Record Last Updated
- September 14, 2023
- Certification Date
- April 18, 2021
- NPISignal NPPES Dataset
- August 2026
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