Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kourtney Sharda Gibson, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1386404630

Kourtney Sharda Gibson, PMHNP-BC is a Nurse Practitioner in Brunswick, Georgia. Qualified in 2024, 2 years ago. Practices with Lifesource of North Carolina, a 170-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3441 Cypress Mill Rd Ste 101
Brunswick, GA 31520-2879
Phone: (912) 275-4763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1345 Redmond Cir Nw, Rome, GA 30165-1307 — (910) 742-9243

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN-NP273930 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN273930 (GA)

Record details

NPI number1386404630
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brunswick