Sydney Jackson, FNP-C - Medicare Nurse Practitioner in Moultrie, GA

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Sydney Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Moultrie, Georgia. Her current practice location is 207 31st Ave Se, Moultrie, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 217-0088.

Sydney Jackson is licensed to practice in Georgia (license number RN223614) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184089088.

Contact Information

Sydney Jackson, FNP-C
207 31st Ave Se,
Moultrie, GA 31768-6703
(229) 217-0088
(229) 217-0086

Map and Direction




Provider's Profile

Full NameSydney Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location207 31st Ave Se, Moultrie, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184089088
  • Provider Enumeration Date: 12/18/2015
  • Last Update Date: 12/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4486995636
  • Enrollment ID: I20190416001927

Medical Identifiers

Medical identifiers for Sydney Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184089088NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN223614 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sydney Jackson allows following entities to bill medicare on her behalf.
Entity NameConvenient Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366734683
PECOS PAC ID: 4082886825
Enrollment ID: O20111020000351

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sydney Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sydney Jackson, FNP-C
207 31st Ave Se,
Moultrie, GA 31768-6703

Ph: (229) 217-0088		Sydney Jackson, FNP-C
207 31st Ave Se,
Moultrie, GA 31768-6703

Ph: (229) 217-0088

Reviews and Comments


Nurse Practitioner Nurses in Moultrie, GA

Addie B Gay,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788
Phone: 229-891-3513    Fax: 229-890-1986
Courtney Oakes,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8 Laurel Ct, Moultrie, GA 31768
Phone: 229-891-9016    
Phyllis Hughes, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4 Live Oak Ct, Moultrie, GA 31768
Phone: 229-985-1080    
Mary Ann Anderson-parris, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788
Phone: 229-985-4815    
Sabrina Griffin, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 143 Us Highway 319 S Ste 1, Moultrie, GA 31768
Phone: 229-217-0523    
Ms. Vernita S Shipp, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 358 Veterans Pkwy N, Moultrie, GA 31788
Phone: 229-891-3513    Fax: 229-890-1986
Casey Jo Bennett,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 31st Ave Se, Moultrie, GA 31768
Phone: 229-502-9788    Fax: 229-890-2166

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.