Gibson Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GIBSON WELLNESS, LLC

Doing business as

Gibson Wellness

Practice address

143 US Hwy 319 S, Moultrie, Ga 31768, Moultrie, Ga 3176
Unit 12
Moultrie, GA 31768

Phone

(229) 985-0208

NPI assigned

May 1, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sydney Jackson, NP-CNPI 1184089088

Title

Nurse Pracitioner

Phone

(229) 985-0208

Specialties & licenses 1

Addresses

Other names 1

• Gibson Wellness Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sydney Jackson, FNP-C

  • Family Nurse Practitioner
  • Moultrie, GA
  • NPI 1184089088
  NPD (past) Authorized official
• Tiffanie Gibson

  • Family Nurse Practitioner
  • Moultrie, GA
  • NPI 1962881359
  NPD

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1881531499",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 US HWY 319 S, MOULTRIE, GA 31768, MOULTRIE, GA 3176",
            "address_2": "UNIT 12",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "31768",
            "telephone_number": "229-985-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBSON WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "NURSE PRACITIONER",
        "authorized_official_telephone_number": "229-985-0208",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gibson Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia CVS Pharmacy LLC (CVS Pharmacy # 04203)
• Georgia Em-I Medical Services, PC
• Georgia Pines Community Service Board
• Georgia Pines Community Service Board
• Georgia-Florida Eye Centers, P.C. (Moultrie Optical)
• Tiffanie Gibson
• Max Gierczak, ATC
• Julio Antonio Ginel, LMHC, LPC
• Give Kindness Wing
• Mark A Globerman, PA-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 Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.