Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Subricca Nicole Redding Luster, FNP-C

Individual provider Family Nurse Practitioner · NPI 1598524886

Subricca Nicole Redding Luster, FNP-C is a Nurse Practitioner in Tifton, Georgia. Qualified in 2024, 2 years ago. Practices with Phoebe Physician Group Inc, a 432-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
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1948 Old Ocilla Rd
Tifton, GA 31794-1644
Phone: (229) 391-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 130 Oakland Pkwy, Leesburg, GA 31763-7200 — (229) 391-3500

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN261329 (GA)

Record details

NPI number1598524886
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

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 Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Tifton