MRS. LINDSEY D BOOKHARDT (P.A.) – Physician Assistant, NPI 1942279294

MRS. LINDSEY D BOOKHARDT (P.A.) is a healthcare provider. based in Jesup, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 004294 (GA). The NPI Number for MRS. LINDSEY D BOOKHARDT (P.A.) is 1942279294

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LINDSEY D BOOKHARDT (P.A.)
NPI
1942279294
Phone
(912) 588-1020
Address
PO BOX 664
Enumeration Date
17 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4787458581
Graduation Year
2004 (22 years ago)
PAC ID
7416969811
Group Practice PAC ID
7113980855
Professional Enrollment ID
I20060630000036
Address ID
GA312017452MA1157XSTXX300
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

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MRS. LINDSEY D BOOKHARDT (P.A.)

  • PO BOX 664

    JESUP, GA 315980664

    Phone: (912) 588-1020

    Fax: (912) 588-1002

    Type: Mailing

  • 1007, South Macon Street, Jesup, Wayne County, Georgia, 31545, United States

    JESUP, GA 315450242

    Phone: (912) 588-1020

    Fax: (912) 588-1002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($139).

Total Amount

$407

General + Research + Ownership

Payments

17

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-06-30

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
I20060630000036IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31598)

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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: 7113980855View full group profile
NameSpecialtyState
Nurse PractitionerGA
Physician AssistantGA
Physician AssistantGA
Nurse PractitionerGA
D E R M A T O L O G YGA
Physician AssistantGA
-GA
D E R M A T O L O G YSC
Micrographic Dermatologic Surgery (Mds), Micrographic Dermatologic Surgery (Mds), Dermatology, DermatologyTX
P A T H O L O G YGA

Reviews

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Frequently asked questions

Can I verify MRS. LINDSEY D BOOKHARDT (P.A.) with an NPI only?
You can start verification with NPI 1942279294 for MRS. LINDSEY D BOOKHARDT (P.A.), then check state licensing separately.
Is MRS. LINDSEY D BOOKHARDT (P.A.) still practicing?
MRS. LINDSEY D BOOKHARDT (P.A.) is currently listed as active in the public NPI registry.
What is MRS. LINDSEY D BOOKHARDT (P.A.) best known for clinically?
Directory data describes MRS. LINDSEY D BOOKHARDT (P.A.) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. LINDSEY D BOOKHARDT (P.A.) based?
MRS. LINDSEY D BOOKHARDT (P.A.) is tied to Jesup, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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