Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891779096 Individual Practitioner Male Practitioner

Dr. Lewis W. Jackson , MD

Pediatrics • Newnan, GA

Professional Overview & Biography Verified Profile Summary

Dr. Lewis Jackson, MD is a registered healthcare professional specializing in Pediatrics in Newnan, GA. Practice services are available at 2959 SHARPSBURG MCCOLLUM RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2959 Sharpsburg Mccollum Rd

Newnan, GA 302652297

Telephone 7705022000
Fax 7705022009

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Newnan, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Newnan, GA (2326 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GA 042294

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000717131E (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Xiaoyan Guo , MD

Psychiatry & Neurology - Neurology

NPI 1548290661

Doctor of Medicine (M.D.)

Dr. Jeffrey Stark , MD

Internal Medicine - Rheumatology

NPI 1568640621

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2018

Registered at 2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 302652297 (Tel: 7705022000)

📍
Updated Business Mailing Address March 15, 2018

Registered at 2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 302652297 (Tel: 7705022000)

👤
Provider Name / Credentials Updated March 15, 2018

Recorded as LEWIS JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2018

Pediatrics (License #042294 in GA)

NPI Profile Active November 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2011

Registered at 2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 302652297 (Tel: 7705022000)

📍
Updated Business Mailing Address November 29, 2011

Registered at 2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 302652297 (Tel: 7705022000)

👤
Provider Name / Credentials Updated November 29, 2011

Recorded as LEWIS JACKSON, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2011

Pediatrics (License #042294 in GA)

🟢
Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891779096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: March 15, 2018
Sole Proprietor: No

Mailing Address

2959 Sharpsburg Mccollum Rd

Newnan, GA 302652297

Phone: 7705022000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.