Dr Jackson L Gates, MD - Medicare General Practice in Conyers, GA

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Dr Jackson L Gates, MD is a medicare enrolled "General Practice" physician in Conyers, Georgia. His current practice location is 1880 Lancaster Drive, Conyers, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 591-6509.

Dr Jackson L Gates is licensed to practice in Georgia (license number 038767) 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 1962418400.

Contact Information

Dr Jackson L Gates, MD
1880 Lancaster Drive,
Conyers, GA 30013-6433
(678) 591-6509
Not Available

Map and Direction




Physician's Profile

Full NameDr Jackson L Gates
GenderMale
SpecialityGeneral Practice
Location1880 Lancaster Drive, Conyers, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962418400
  • Provider Enumeration Date: 08/01/2006
  • Last Update Date: 08/10/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2163618554
  • Enrollment ID: I20101124000670

Medical Identifiers

Medical identifiers for Dr Jackson L Gates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962418400NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 038767 (Georgia)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 038767 (Georgia)Secondary

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. Dr Jackson L Gates allows following entities to bill medicare on his behalf.
Entity NamePrime Care & Pathology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144977802
PECOS PAC ID: 4688061294
Enrollment ID: O20220429001112

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. Dr Jackson L Gates 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
Dr Jackson L Gates, MD
777 Cleveland Ave Sw, Suite 100,
Atlanta, GA 30315-7129

Ph: (404) 763-0093		Dr Jackson L Gates, MD
1880 Lancaster Drive,
Conyers, GA 30013-6433

Ph: (678) 591-6509

Reviews and Comments


General Practice Doctors in Conyers, GA

Mary Jane B Kassam, MD
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Medicare: Medicare Enrolled
Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013
Phone: 770-929-0813    Fax: 770-922-8653
Mr. Jack Lee Sorg, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 1301 Well Brook Circle, Conyers, GA 30012
Phone: 770-922-3023    Fax: 770-929-1016
Dr. Wanja E Mwangi, MD, MPH
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3030    

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.