JACK H. III POWELL (MD) – Orthopaedic Surgery Physician, NPI 1639266620
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JACK H. III POWELL (MD)
Old Atlanta Highway, Newnan, Coweta County, Georgia, 30263, United States
SUITE 2200
NEWNAN, GA 302655631
Phone: (770) 502-2175
Fax: (770) 502-2131
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)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-12-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051216000142 | I | Orthopedic Surgery | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30265)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | GA | 73562 | X-ray of knee, 3 views | 192 | 148 |
| ORTHOPEDIC SURGERY | GA | 27447 | Repair of knee joint | 27 | 26 |
| ORTHOPEDIC SURGERY | GA | 62311 | Injections of substances into lower or sacral spine | 80 | 41 |
| ORTHOPEDIC SURGERY | GA | 73110 | X-ray of wrist, minimum of 3 views | 73 | 31 |
| ORTHOPEDIC SURGERY | GA | 73140 | X-ray of fingers, minimum of 2 views | 18 | 16 |
| ORTHOPEDIC SURGERY | GA | 73630 | X-ray of foot, minimum of 3 views | 79 | 34 |
| ORTHOPEDIC SURGERY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 33 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | TN | |
| Physical Therapist In Private Practice | GA | |
| - | NY | |
| Orthopedic Surgery | GA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| - | GA |
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