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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

Convenient Care LLC
1.0 mi
Family Medicine
207 31ST AVE SE
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1366734683 (229) 890-6054

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 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.

Which organization bills Medicare for Sydney Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Jackson reassigns Medicare benefits to Convenient Care LLC (Moultrie, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sydney Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.