Mr Jackson Alexander Harbin, PA-C - Medicare Emergency Medicine in Jesup, GA

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Mr Jackson Alexander Harbin, PA-C is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Jesup, Georgia. His current practice location is 865 S 1st St, Jesup, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 530-3395.

Mr Jackson Alexander Harbin is licensed to practice in Georgia (license number 12355) 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 1164263919.

Contact Information

Mr Jackson Alexander Harbin, PA-C
865 S 1st St,
Jesup, GA 31545-0210
(912) 530-3395
Not Available

Map and Direction




Physician's Profile

Full NameMr Jackson Alexander Harbin
GenderMale
SpecialityEmergency Medicine - Emergency Medical Services
Location865 S 1st St, Jesup, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164263919
  • Provider Enumeration Date: 06/05/2024
  • Last Update Date: 06/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799218780
  • Enrollment ID: I20241029004227

Medical Identifiers

Medical identifiers for Mr Jackson Alexander Harbin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164263919NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 12355 (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. Mr Jackson Alexander Harbin allows following entities to bill medicare on his behalf.
Entity NameWayne Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982828943
PECOS PAC ID: 6103926241
Enrollment ID: O20070703000148
Entity NameSouthland Emergency Medical Services Consolidated, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033464391
PECOS PAC ID: 4183871320
Enrollment ID: O20120823000503
Entity NameSouthland Optim Screven Emergency Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174917157
PECOS PAC ID: 9739480021
Enrollment ID: O20151210000476
Entity NameSouthland Optim Jenkins Emergency Medical Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265826242
PECOS PAC ID: 9537461538
Enrollment ID: O20160107002680
Entity NameSouthland Clinch Emergency Medical Services, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093223778
PECOS PAC ID: 7810242575
Enrollment ID: O20180620002069

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. Mr Jackson Alexander Harbin 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
Mr Jackson Alexander Harbin, PA-C
205 Sonata Cir,
Pooler, GA 31322-4939

Ph: (407) 730-1299		Mr Jackson Alexander Harbin, PA-C
865 S 1st St,
Jesup, GA 31545-0210

Ph: (912) 530-3395

Reviews and Comments


Emergency Medicine Doctors in Jesup, GA

Dr. Daniel Joseph Green, M.D.
Emergency Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 865 S 1st St, Jesup, GA 31545
Phone: 912-530-3176    
Lafayette Burks, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 865 S 1st St, Jesup, GA 31545
Phone: 904-805-1300    Fax: 904-805-1302

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.