Sharon Lisa Jackson, - Medicare Nurse Practitioner in Senoia, GA

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Sharon Lisa Jackson, is a medicare enrolled "Nurse Practitioner - Family" in Senoia, Georgia. Her current practice location is 270 Autumn Crk, Senoia, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 647-5155.

Sharon Lisa Jackson is licensed to practice in Georgia (license number RN209629) 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 1720587413.

Contact Information

Sharon Lisa Jackson,
270 Autumn Crk,
Senoia, GA 30276-1563
(770) 647-5155
Not Available

Map and Direction




Provider's Profile

Full NameSharon Lisa Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location270 Autumn Crk, Senoia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720587413
  • Provider Enumeration Date: 02/07/2018
  • Last Update Date: 01/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7315324738
  • Enrollment ID: I20220524001288

Medical Identifiers

Medical identifiers for Sharon Lisa Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720587413NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN209629 (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. Sharon Lisa Jackson allows following entities to bill medicare on her behalf.
Entity NameJoint Regeneration & Anti-aging Of
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073116554
PECOS PAC ID: 8527479021
Enrollment ID: O20201203002328

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. Sharon Lisa 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
Sharon Lisa Jackson,
Po Box 3102,
Peachtree City, GA 30269-7102

Ph: () -		Sharon Lisa Jackson,
270 Autumn Crk,
Senoia, GA 30276-1563

Ph: (770) 647-5155

Reviews and Comments


Nurse Practitioner Nurses in Senoia, GA

Mrs. Samantha Gwen Hudson, MSN, APRN, PMHNP-BC
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Phone: 678-733-6108    
Hilary Lynn Lassetter Duke,
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Practice Location: 1003 Al Roberts Rd, Senoia, GA 30276
Phone: 678-416-9066    
Christy Cottrell, NP
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Medicare: Medicare Enrolled
Practice Location: 7990 Wells St Ste 100, Senoia, GA 30276
Phone: 470-947-6010    
Krista Raynes Hobson, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8399 Highway 16, Senoia, GA 30276
Phone: 404-849-7180    
Mrs. Dana R. Chaffin, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7285 Highway 16, Suite C, Senoia, GA 30276
Phone: 770-599-0505    Fax: 770-599-3413

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.