MR. JEFFREY ALLEN SIEBERT (APRN) – Neonatal Nurse Practitioner, NPI 1114255593
Neonatal Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. JEFFREY ALLEN SIEBERT (APRN)
PO BOX 658
GAINESVILLE, GA 305030658
Phone: (770) 718-1122
Fax: (770) 533-4786
Type: Mailing
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone: (770) 535-3611
Fax: (770) 535-7092
Type: Location
100 Brewster Blvd., Camp lejeune
Jacksonville, NC 285472538
Phone: (239) 282-9242
Type: Location
1400 River Pl
Braselton, GA 305175600
Phone: (770) 535-3611
Fax: (770) 535-7092
Type: Location
Camp Lejeune School, Brewster Boulevard, Piney Green, Marine Corps Base Camp Lejeune, Onslow County, North Carolina, 28547, United States
JACKSONVILLE, NC 285474194
Phone: (910) 450-4159
Fax: (910) 450-4194
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210701002439 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30503)
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