Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffanie Gibson

Individual provider Family Nurse Practitioner · NPI 1962881359

Tiffanie Gibson is a Nurse Practitioner in Moultrie, Georgia. Qualified in 2014, 12 years ago. Practices with Swartzentruber Medical Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2015

Practice location Address checks out

143 US Hwy 319 S Unit 12
Moultrie, GA 31768-3176
Phone: (229) 985-0208
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN173450 (GA)

Record details

NPI number1962881359
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2015
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 14, 2025
Mailing address4 Live Oak Ct, Moultrie, GA 31768

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Swartzentruber Medical Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moultrie