DR. FELICIA S LACKSEN (M.D.) – Internal Medicine Physician, NPI 1285693911

DR. FELICIA S LACKSEN (M.D.) is a healthcare provider. based in Watkinsville, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 047612 (GA). The NPI Number for DR. FELICIA S LACKSEN (M.D.) is 1285693911

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. FELICIA S LACKSEN (M.D.)
NPI
1285693911
Phone
(706) 769-3331
Address
1351 STONEBRIDGE PKWY
Enumeration Date
21 March 2006
Last Update Date
13 June 2018

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
7067693331
Graduation Year
1994 (32 years ago)
PAC ID
9335271634
Group Practice PAC ID
0648520841
Professional Enrollment ID
I20100722000418
Address ID
GA306776025WA1351XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. FELICIA S LACKSEN (M.D.)

  • 1351 STONEBRIDGE PKWY

    BLDG 105

    WATKINSVILLE, GA 306776037

    Phone: (706) 769-3331

    Fax: (706) 769-3360

    Type: Location

  • Paces Ferry Road Northwest, Atlanta, Fulton County, Georgia, 30327, United States

    SUITE 1-1100 (ATTENTION DENISE)

    ATLANTA, GA 30339

    Phone: (470) 271-3421

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,096.

Total Amount is formed as General ($1,096) + Research ($0) + Ownership ($0) = $1,096.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lilly USA, LLC ($248).

Total Amount

$1,096

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,096

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2010-07-22

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
I20100722000418IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes395220$0
99213Established patient office or other outpatient visit, 20-29 minutes310205$0
83036Hemoglobin a1c level245108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit205205$0
G0008Administration of influenza virus vaccine8888$0
View full utilization report →

Insurance plans in this area (ZIP 30677)

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Provider's Procedures

DR. FELICIA S LACKSEN (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEGA83036Hemoglobin A1C level24198

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648520841View full group profile
NameSpecialtyState
Nurse PractitionerGA
Internal MedicineGA
Pediatric Medicine, Internal MedicineGA
-GA
Nurse PractitionerGA
Internal MedicineGA
Family PracticeGA
-GA
Internal MedicineTX
Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. FELICIA S LACKSEN (M.D.)?
NPI 1285693911 is assigned to DR. FELICIA S LACKSEN (M.D.) under the national enumeration system.
Is DR. FELICIA S LACKSEN (M.D.) currently active in the NPI registry?
CMS-published data lists DR. FELICIA S LACKSEN (M.D.) as an active registrant.
What field does DR. FELICIA S LACKSEN (M.D.) work in?
You can think of DR. FELICIA S LACKSEN (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. FELICIA S LACKSEN (M.D.) practice in Georgia?
You will see Watkinsville, Georgia on file for DR. FELICIA S LACKSEN (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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