Individual provider Active NPI

Sibyl L. Kirkland, FNP-BC

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1477082477
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN188956 Issued in GA
Practice address
1555 Brampton Ave
Statesboro, GA 30458-0856
Phone
(912) 480-9444
Fax
(912) 228-4654
NPI assigned
Jun 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN188956 GA Primary

Addresses

Primary practice location

1555 Brampton Ave
Statesboro, GA 30458-0856

Mailing address

PO Box 531
Statesboro, GA 30459-0531
Phone (912) 764-8441

Other practice location 1

380A Cedar St
Metter, GA 30439-4042
Phone (912) 685-3992

Other practice location 2

106 Briarwood Rd
Statesboro, GA 30458-2459
Phone (912) 871-5000

Other practice location 3

200 Donehoo St
Statesboro, GA 30458-5169
Phone (912) 764-8441

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170808001600 GA Practitioner - Nurse Practitioner 8426329590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

106 Briarwood Rd
Statesboro, GA 30458-2459
Phone (770) 442-1911

Hospital & facility affiliations

  • East Georgia Regional Medical Center Hospital, Statesboro, GA, CCN 110075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN188956GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Ogeechee Area Hospice Inc. CurrentSince Apr 1, 2021 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

2866 Johnson Ferry Rd
Ste 200
Marietta, GA 30062

200 Donehoo St
Statesboro, GA 30458
Phone (912) 764-8441

1555 Brampton Ave
Statesboro, GA 30458
Phone (912) 243-9299

106 Briarwood Rd
Statesboro, GA 30458
Phone (912) 871-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1477082477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304590531",
            "telephone_number": "912-764-8441",
            "fax_number": "912-489-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580856",
            "telephone_number": "912-480-9444",
            "fax_number": "912-228-4654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380A Cedar St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394042",
            "country_code": "US",
            "telephone_number": "912-685-3992",
            "fax_number": "912-685-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Briarwood Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304582459",
            "country_code": "US",
            "telephone_number": "912-871-5000",
            "fax_number": "912-681-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Donehoo St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585169",
            "country_code": "US",
            "telephone_number": "912-764-8441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "SIBYL",
        "middle_name": "L.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN188956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.