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KOURTNEY SHARDA GIBSON PMHNP-BC
NPI 1386404630
Nurse Practitioner - Psychiatric/Mental Health in Brunswick, GA

Active since March 21, 2024PECOS EnrolledAccepts Medicare Assignment
3441 CYPRESS MILL RD STE 101, BRUNSWICK, GA 31520(912) 275-4763 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2025, May 29, 2025, Aug 1, 2024 and 1 more (4 updates tracked since 2024).

About Kourtney Sharda Gibson Pmhnp-bc NPPES

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

KOURTNEY SHARDA GIBSON PMHNP-BC (NPI 1386404630) is an individual psychiatric/mental health provider in Brunswick, Georgia, licensed in Georgia (APRN-NP273930) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rome, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1386404630
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKOURTNEY SHARDA GIBSONCredential: PMHNP-BC
Location Address3441 CYPRESS MILL RD STE 101Brunswick, GA 31520-2879
Mailing Address810 Warren Mason Blvd Unit 702Brunswick, GA 31520-1333 · (912) 324-1651
Phone(912) 275-4763
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 21, 2024
Last NPPES UpdateSeptember 8, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
✔ NPI 1386404630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP273930
Also ListedRegistered NurseTaxonomy 163W00000X · License RN273930 (GA)
3441 CYPRESS MILL RD STE 101, Brunswick, GA 31520
Open in Google Maps ↗

Secondary Practice Location 1

Location 11345 Redmond Cir NWRome, GA 30165-1307 · Phone (910) 742-9243

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kourtney Sharda Gibson Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951836493
PECOS Enrollment IDI20241121000659
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 Reassignments

3

Medicare enrollment records show Kourtney Gibson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gateway Community Service Board
2.0 mi
Community/Behavioral Health
700 COASTAL VILLAGE DRIVE
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 70 clinicians in this Medicare group
NPI 1558478214 (912) 554-8510
Personal Recovery Network LLC
226 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100
Lifesource Of North Carolina
304 mi
General Practice
1345 REDMOND CIR NW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 92 clinicians in this Medicare group
NPI 1962940817 (910) 742-9243

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 31520 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 8

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

JESSICA POE P.C.
Nurse Practitioner (Psychiatric/Mental Health)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 275-4763
EXPAND HEALTH, LLC
Clinic/Center (Primary Care)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 419-5148
MARY VIRGINIA MAY NP
Nurse Practitioner (Family)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 456-3502
MICHAEL COLON MA
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 483-9524
STEVEN S DAVIS
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 483-9524
STEVEN DAVIS COUNSELING, LLC
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 483-9524
TYLER COLE DNP
Nurse Practitioner (Primary Care)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 419-5148
JESSICA COLEMAN FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Glynn County (912) 275-4763

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 Kourtney Gibson's NPI number?

The NPI number for Kourtney Gibson is 1386404630. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Where is Kourtney Gibson located?

Kourtney Gibson practices at 3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520. The listed phone number is (912) 275-4763.

What is Kourtney Gibson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kourtney Gibson enrolled in Medicare?

Yes. Kourtney Gibson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kourtney Gibson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourtney Gibson reassigns Medicare benefits to 3 organizations: Gateway Community Service Board (Brunswick, GA), Personal Recovery Network LLC (Stockbridge, GA) and Lifesource Of North Carolina (Rome, GA). Each 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 Kourtney Gibson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kourtney Gibson accept?

Health plans from Oscar Health list Kourtney Gibson 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 Kourtney Gibson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.