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 October 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2015PECOS Enrolled

207 31ST AVE SE, MOULTRIE, GA 31768(229) 217-0088(229) 217-0086 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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 Address207 31ST AVE SEMoultrie, GA 31768-6703

Mailing Address207 31st Ave SeMoultrie, GA 31768-6703 · (229) 217-0088 · Fax (229) 217-0086

Phone(229) 217-0088

Fax(229) 217-0086

Sole ProprietorYes

Enumeration DateDecember 18, 2015

Last NPPES UpdateOctober 13, 2025

NPPES CertifiedOctober 13, 2025

✔ 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

207 31ST AVE SE, 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.

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Other Providers at the Same Location NPPES 6

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

COLQUITT COUNTY HOSPITAL AUTHORITY

Clinic/Center (Urgent Care)