Kourtney Sharda Gibson, PMHNP-BC in Brunswick, GA

Kourtney Sharda Gibson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brunswick, Georgia. Her current practice location is 3441 Cypress Mill Rd Ste 101, Brunswick, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 275-4763.

Kourtney Sharda Gibson is licensed to practice in Georgia (license number APRN-NP273930) 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 1386404630.

Contact Information

	Kourtney Sharda Gibson, PMHNP-BC
	3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520-2879
	(912) 275-4763
	Not Available

Map and Direction

Provider's Profile

Full Name	Kourtney Sharda Gibson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3441 Cypress Mill Rd Ste 101, Brunswick, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386404630
Provider Enumeration Date: 03/21/2024
Last Update Date: 09/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1951836493
Enrollment ID: I20241121000659

Medical Identifiers

Medical identifiers for Kourtney Sharda Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386404630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APRN-NP273930 (Georgia)	Primary
163W00000X	Registered Nurse	RN273930 (Georgia)	Secondary

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. Kourtney Sharda Gibson allows following entities to bill medicare on her behalf.

Entity Name	Gateway Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558478214 PECOS PAC ID: 3173510237 Enrollment ID: O20040429000700

Entity Name	Lifesource Of North Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962940817 PECOS PAC ID: 7416132428 Enrollment ID: O20170418000863

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. Kourtney Sharda Gibson 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 Address	Practice Location Address
Kourtney Sharda Gibson, PMHNP-BC 810 Warren Mason Blvd Unit 702, Brunswick, GA 31520-1333 Ph: (912) 324-1651	Kourtney Sharda Gibson, PMHNP-BC 3441 Cypress Mill Rd Ste 101, Brunswick, GA 31520-2879 Ph: (912) 275-4763

Reviews and Comments

Nurse Practitioner Nurses in Brunswick, GA

Lindsey Hodges Bell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Gable Ct, Brunswick, GA 31525 Phone: 912-466-5870 Fax: 912-267-4749
Ashley Danielle Head, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1692 Glynco Pkwy, Brunswick, GA 31525 Phone: 912-265-4735 Fax: 912-265-6100
Haley Rebecca Walling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-292-2643
Jasmine Marie Hahn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 Shrine Rd Ste 270, Brunswick, GA 31520 Phone: 912-262-2723
Elizabeth K Watson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2916 Glynn Ave, Brunswick, GA 31520 Phone: 912-466-5850 Fax: 912-466-5881
Kimberly Ann Kirk, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 270, Brunswick, GA 31520 Phone: 912-262-2723
Mrs. Amanda Ralph, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3408 Trout St, Brunswick, GA 31520 Phone: 912-466-9111 Fax: 912-466-0366

Kourtney Sharda Gibson, PMHNP-BC - Medicare Nurse Practitioner in Brunswick, GA