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SYDNEY CENTER JEANS NP
NPI 1952026031
Nurse Practitioner - Women's Health in Marietta, GA

Active since October 11, 2022Opted out of Medicare · through Jan 1, 2028
1121 JOHNSON FERRY RD STE 340, MARIETTA, GA 30068(678) 802-8665(678) 540-4250 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Sep 11, 2025, Dec 7, 2023 and 1 more (4 updates tracked since 2022).

About Sydney Center Jeans Np NPPES

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

SYDNEY CENTER JEANS NP (NPI 1952026031) is an individual women's health provider in Marietta, Georgia, licensed in Georgia (RN309563) and active in the NPI registry since October 2022. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952026031
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSYDNEY CENTER JEANSCredential: NP
Location Address1121 JOHNSON FERRY RD STE 340Marietta, GA 30068-5404
Mailing Address3405 Dallas Hwy Sw Ste 200Marietta, GA 30064-6426 · (678) 802-8665 · Fax (678) 540-4250
Phone(678) 802-8665
Fax(678) 540-4250
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateOctober 10, 20254 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
✔ NPI 1952026031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in GA · RN309563
1121 JOHNSON FERRY RD STE 340, Marietta, GA 30068
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sydney Center Jeans Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Jeans's NPI number?

The NPI number for Sydney Jeans is 1952026031. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Sydney Jeans located?

Sydney Jeans practices at 1121 Johnson Ferry Rd Ste 340, Marietta, GA 30068. The listed phone number is (678) 802-8665.

What is Sydney Jeans's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Sydney Jeans enrolled in Medicare?

No. Sydney Jeans has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sydney Jeans was last updated on October 10, 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.