MR. JEFFREY ALLEN SIEBERT APRN
NPI 1114255593
Nurse Practitioner - Neonatal in Gainesville, GA

Q: What is Jeffrey Siebert's NPI number?

The NPI number for Jeffrey Siebert is 1114255593. It was assigned to this individual provider in the NPPES registry on November 24, 2009.

Q: What is Jeffrey Siebert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Siebert was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 24, 2009PECOS Enrolled

743 SPRING ST NE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2025, Aug 8, 2022, Aug 24, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Mr. Jeffrey Allen Siebert Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY ALLEN SIEBERT APRN (NPI 1114255593) is an individual neonatal provider in Gainesville, Georgia, licensed in Georgia (APRN-NP303622) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114255593

Entity TypeIndividualMale

Primary Taxonomy363LN0000X

Provider Legal NameMR. JEFFREY ALLEN SIEBERTCredential: APRN

Location Address743 SPRING ST NEGainesville, GA 30501-3715

Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786

Phone(770) 535-3611

Fax(770) 535-7092

Sole ProprietorNo

Enumeration DateNovember 24, 2009

Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration

NPPES CertifiedOctober 30, 2025

✔ NPI 1114255593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

Licenses✔ Licensed in GA · APRN-NP303622✔ Licensed in TX · 778279

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License RN303622 (GA)

743 SPRING ST NE, Gainesville, GA 30501

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Brewster Blvd., Camp lejeuneJacksonville, NC 28547-2538 · Phone (239) 282-9242

Location 21400 River PlBraselton, GA 30517-5600 · Phone (770) 535-3611 · Fax (770) 535-7092

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Allen Siebert Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Siebert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Longstreet Clinic, PC

0.1 mi

Internal Medicine

725 JESSE JEWELL PKWY SE
Gainesville, GA 30501

Reassigned Medicare billing, Georgia enrollment
170 clinicians in this Medicare group

NPI 1326019977 (770) 718-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARRYL E BLALOCK CRNA

Nurse Anesthetist, Certified Registered