Sydney Jackson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN223614 Issued in GA

Practice address

143 US Highway 319 S Ste 12
Moultrie, GA 31768-7991

Phone

(229) 985-0208

Fax

(229) 217-0086

NPI assigned

Dec 18, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Convenient Care LLC

  • Family Medicine Physician
  • Moultrie, GA
  • NPI 1366734683
  Medicare reassignment NPD
• Gibson Wellness, LLC

  • Family Nurse Practitioner
  • Moultrie, GA
  • NPI 1881531499
  NPD (past) Authorized official
• Convenient Care, LLC

  • Nurse Practitioner
  • Moultrie, GA
  • NPI 1932631371
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1184089088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 US HIGHWAY 319 S STE 12",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317687991",
            "telephone_number": "229-985-0208",
            "fax_number": "229-217-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 US HIGHWAY 319 S STE 12",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317687991",
            "telephone_number": "229-985-0208",
            "fax_number": "229-217-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SYDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Hughes, NP
• Hughston Clinic PC
• Angela Denise Hurst, WHNP
• Ivydale at Willow Lodge
• J H Harvey Co LLC
• Daaniya Jamal
• Ivy Jarvis, SLP
• Jeffrey Scott Jarvis, PHARMD
• Jeanphis Laguerre MD PC
• Jeffery P. Barnett, D.M.D., P.C.

• Family Nurse Practitioner in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.