Lewis W Jackson, MD - Medicare Pediatrics in Newnan, GA

Lewis W Jackson, MD is a medicare enrolled "Pediatrics" physician in Newnan, Georgia. His current practice location is 2959 Sharpsburg Mccollum Rd, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 502-2000.

Lewis W Jackson is licensed to practice in Georgia (license number 042294) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891779096.

Contact Information

Lewis W Jackson, MD
2959 Sharpsburg Mccollum Rd,
Newnan, GA 30265-2297
(770) 502-2000
(770) 502-2009



Physician's Profile

Full NameLewis W Jackson
GenderMale
SpecialityPediatrics
Location2959 Sharpsburg Mccollum Rd, Newnan, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891779096
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 03/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4880689744
  • Enrollment ID: I20191218002513

Medical Identifiers

Medical identifiers for Lewis W Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891779096NPI-NPPES
000717131EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 042294 (Georgia)Primary

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. Lewis W Jackson allows following entities to bill medicare on his behalf.
Entity NamePiedmont Pediatric Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447315742
PECOS PAC ID: 3678505609
Enrollment ID: O20050909000813

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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. Lewis W Jackson 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 AddressPractice Location Address
Lewis W Jackson, MD
2959 Sharpsburg Mccollum Rd,
Newnan, GA 30265-2297

Ph: (770) 502-2000
Lewis W Jackson, MD
2959 Sharpsburg Mccollum Rd,
Newnan, GA 30265-2297

Ph: (770) 502-2000

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Pediatrics Doctors in Newnan, GA

Fred A Tega, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 15 Baynard Park, Newnan, GA 30265
Phone: 770-251-5253    Fax: 770-251-5254
Dr. Regina P Justice, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2462 Highway 34 East, Suite A, Newnan, GA 30265
Phone: 770-683-5437    Fax: 770-683-3758
Shannon Leigh Boles, PNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 931 Lower Fayetteville Rd Ste J, Newnan, GA 30263
Phone: 770-253-0170    
J. Boyce Thomas, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 189 Jefferson Pkwy, Newnan, GA 30263
Phone: 770-304-2220    Fax: 770-304-2622
Melinda O Amosu, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 189 Jefferson Pkwy, Newnan, GA 30263
Phone: 770-304-2220    Fax: 770-304-2622
Dr. Jill B Dickerson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10 Market Square Way Ste 100, Newnan, GA 30265
Phone: 678-423-5560    Fax: 678-423-5563
Jamison R. Roberts, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2959 Sharpsburg Mccullum Rd, Newnan, GA 30265
Phone: 770-502-2020    

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