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: August 02, 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
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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

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 7

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

Psychiatry & Neurology (Psychiatry)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Clinic/Center (Primary Care)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Nurse Practitioner (Family)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Counselor (Professional)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520
Nurse Practitioner (Primary Care)
3441 CYPRESS MILL RD STE 101
BRUNSWICK, GA 31520

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.

What insurance does Kourtney Gibson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee 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 10 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.