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) 321-7951

NPI assigned

Dec 18, 2015

Last updated

Nov 2, 2026By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Convenient Care LLC

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

  dba Gibson Wellness

  • Family Nurse Practitioner
  • Moultrie, GA
  • NPI 1881531499
  NPD 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": "1793577600000",
    "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": "229-321-7951"
        },
        {
            "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": "229-321-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SYDNEY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Hughes, NP
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• Angela Denise Hurst, WHNP
• Ivydale at Willow Lodge
• J H Harvey Co LLC (Harveys Supermarket Pharmacy #2327)
• 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 Nov 2, 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.