BILLIE LUKE JACKSON (M.D.) – Dermatology Physician, NPI 1235232430

BILLIE LUKE JACKSON (M.D.) is a healthcare provider. based in Macon, Georgia. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 30791 (GA). The NPI Number for BILLIE LUKE JACKSON (M.D.) is 1235232430

Main info

Female
Sole Proprietor
42 Years Of Experience
Name
BILLIE LUKE JACKSON (M.D.)
NPI
1235232430
Phone
(478) 477-5575
Address
440 CHARTER BLVD
Enumeration Date
6 September 2006
Last Update Date
3 November 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
4784775575
Graduation Year
1984 (42 years ago)
PAC ID
0941476709
Professional Enrollment ID
I20111228000194
Address ID
GA312100706MA440XXBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for BILLIE LUKE JACKSON (M.D.)

  • 440, Charter Boulevard, Country Club Estates, Macon, Bibb County, Georgia, 31210, United States

    SUITE 2201

    MACON, GA 312104857

    Phone: (478) 477-5575

    Fax: (478) 477-0707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $3,221.

Total Amount is formed as General ($3,221) + Research ($0) + Ownership ($0) = $3,221.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($823).

Total Amount

$3,221

General + Research + Ownership

Payments

34

Total payment records

General Amount

$3,221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111228000194IDermatologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes629263$0
17110Destruction of skin growth, 1-14 growths394218$0
99214Established patient office or other outpatient visit, 30-39 minutes308239$0
17000Destruction of precancer skin growth, 1 growth249136$0
11102Biopsy of related skin growth, first growth178130$0
View full utilization report →

Insurance plans in this area (ZIP 31210)

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Reviews

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Frequently asked questions

Can I use this page to confirm BILLIE LUKE JACKSON (M.D.)'s NPI?
Yes. BILLIE LUKE JACKSON (M.D.) is listed with NPI 1235232430 in the public NPI dataset.
Does the file indicate BILLIE LUKE JACKSON (M.D.) is practicing under active NPI?
Directory data currently reports BILLIE LUKE JACKSON (M.D.) as active.
What taxonomy line describes BILLIE LUKE JACKSON (M.D.)?
For research purposes, treat BILLIE LUKE JACKSON (M.D.) as Dermatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BILLIE LUKE JACKSON (M.D.) on a map?
Expect Macon, Georgia as a primary anchor for BILLIE LUKE JACKSON (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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