Individual provider Active NPI

Jessica Coleman, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1992218986
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN225970 Issued in GA
Practice address
3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879
Phone
(912) 275-4763
Fax
(912) 216-3668
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN225970 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN225970 GA Primary

Addresses

Primary practice location

3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879

Mailing address

3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879
Phone (912) 275-4763

Other practice location 1

2300 Parkwood Dr
Brunswick, GA 31520-4719
Phone (912) 275-4763

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
I20180508000687 GA Practitioner - Nurse Practitioner 0143584748 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN225970GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Jessica Poe P.C. Psychiatric/Mental Health Current Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 23, 2026 Accepting new patients
Coastal Community Health Services Inc CurrentSince Feb 1, 2021 Accepting new patients
Gateway Community Service Board CurrentSince Feb 28, 2018 Accepting new patients

Locations

3441 Cypress Mill Rd
Ste 101
Brunswick, GA 31520
Phone (912) 419-5148

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

100 Professional Center Dr
Brunswick, GA 31525

700 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 554-8400

600 Coastal Village Dr
Brunswick, GA 31520
Phone (912) 449-7111

1113 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 280-7023

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1992218986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3441 CYPRESS MILL RD STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202879",
            "telephone_number": "912-275-4763",
            "fax_number": "912-216-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3441 CYPRESS MILL RD STE 101",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202879",
            "telephone_number": "912-275-4763",
            "fax_number": "912-216-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Parkwood Dr",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204719",
            "country_code": "US",
            "telephone_number": "912-275-4763",
            "fax_number": "912-216-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JESSICA",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN225970",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN225970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.