Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SYDNEY JACKSON FNP-C
NPI 1184089088
Nurse Practitioner - Family in Moultrie, GA

Q: What is Sydney Jackson's NPI number?

The NPI number for Sydney Jackson is 1184089088. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Q: What is Sydney Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sydney Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 December 18, 2015PECOS Enrolled

143 US HIGHWAY 319 S STE 12, MOULTRIE, GA 31768(229) 985-0208(229) 217-0086 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2026, Dec 18, 2015 (2 updates tracked since 2015).

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About Sydney Jackson Fnp-c NPPES

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

SYDNEY JACKSON FNP-C (NPI 1184089088) is an individual family provider in Moultrie, Georgia, licensed in Georgia (RN223614) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184089088

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSYDNEY JACKSONCredential: FNP-C

Location Address143 US HIGHWAY 319 S STE 12Moultrie, GA 31768-7991

Mailing Address143 Us Highway 319 S Ste 12Moultrie, GA 31768-7991 · (229) 985-0208 · Fax (229) 217-0086

Phone(229) 985-0208

Fax(229) 217-0086

Sole ProprietorYes

Enumeration DateDecember 18, 2015

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1184089088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN223614

143 US HIGHWAY 319 S STE 12, Moultrie, GA 31768

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sydney Jackson Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Jackson's NPI number?

The NPI number for Sydney Jackson is 1184089088. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Sydney Jackson located?

Sydney Jackson practices at 143 Us Highway 319 S Ste 12, Moultrie, GA 31768. The listed phone number is (229) 985-0208.

What is Sydney Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sydney Jackson enrolled in Medicare?

Yes. Sydney Jackson is registered in the Medicare PECOS enrollment system.

What insurance does Sydney Jackson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sydney Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sydney Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.