GIBSON WELLNESS, LLC
NPI 1881531499
Nurse Practitioner - Family in Moultrie, GA
About Gibson Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIBSON WELLNESS, LLC (NPI 1881531499), doing business as Gibson Wellness, is a healthcare organization registered as a family in Moultrie, Georgia and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Sydney Jackson, Nurse Pracitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2306613
Gibson Wellness · Moultrie, GAFrequently 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 Gibson Wellness, LLC's NPI number?
The NPI number for Gibson Wellness, LLC is 1881531499. It was assigned to this organization in the NPPES registry on May 1, 2026. The provider is doing business as Gibson Wellness.
Where is Gibson Wellness, LLC located?
Gibson Wellness, LLC is located at 143 Us Hwy 319 S, Moultrie, Ga 31768, Moultrie, Ga 3176 Unit 12, Moultrie, GA 31768. The listed phone number is (229) 985-0208.
What is Gibson Wellness, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Gibson Wellness, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2306613) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Gibson Wellness, LLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Gibson Wellness, Llc · NPI 1881531499
Family organization in Moultrie, Georgia. Organization record, active in the CMS NPPES registry since May 1, 2026.
## Identity
- **NPI:** 1881531499 (Entity type: Organization)
- **Enumerated:** May 1, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Gibson Wellness (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Sydney Jackson, NURSE PRACITIONER
## Practice location
- **Address:** 143 US HWY 319 S, MOULTRIE, GA 31768, MOULTRIE, GA 3176, UNIT 12, Moultrie, GA 31768
- **Phone:** (229) 985-0208
## Record status
- **NPPES last updated:** September 8, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881531499) · Data from the CMS NPPES public registry.