Mrs Sophia Evette Jackson, NP - Medicare Nurse Practitioner in Buford, GA

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Mrs Sophia Evette Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Buford, Georgia. Her current practice location is 1950 Buford Hwy, Cvs Caremark Minute Clinic, Buford, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 945-7286.

Mrs Sophia Evette Jackson is licensed to practice in Georgia (license number RN117221) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093879769.

Contact Information

Mrs Sophia Evette Jackson, NP
1950 Buford Hwy, Cvs Caremark Minute Clinic,
Buford, GA 30518-3673
(770) 945-7286
Not Available

Map and Direction




Provider's Profile

Full NameMrs Sophia Evette Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location1950 Buford Hwy, Buford, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093879769
  • Provider Enumeration Date: 12/20/2006
  • Last Update Date: 09/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3870570146
  • Enrollment ID: I20040706000098

Medical Identifiers

Medical identifiers for Mrs Sophia Evette Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093879769NPI-NPPES
00792426CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN117221 (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. Mrs Sophia Evette Jackson allows following entities to bill medicare on her behalf.
Entity NameTlc Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750677241
PECOS PAC ID: 5496924490
Enrollment ID: O20110809000175
Entity NameMedcare Studios Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588430789
PECOS PAC ID: 8123463049
Enrollment ID: O20240301002429

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. Mrs Sophia Evette 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
Mrs Sophia Evette Jackson, NP
4249 Brentwood Dr,
Buford, GA 30518-9008

Ph: (770) 292-8634		Mrs Sophia Evette Jackson, NP
1950 Buford Hwy, Cvs Caremark Minute Clinic,
Buford, GA 30518-3673

Ph: (770) 945-7286

Reviews and Comments


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Practice Location: 3331 Hamilton Mill Rd Ste 1102, Buford, GA 30519
Phone: 678-541-0588    Fax: 678-541-0610

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.