LEWIS W. JACKSON (M.D.) – Pediatrics Physician, NPI 1891779096
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LEWIS W. JACKSON (M.D.)
2959 SHARPSBURG MCCOLLUM RD
NEWNAN, GA 302652297
Phone: (770) 502-2000
Fax: (770) 502-2009
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 29 Open Payments records for all available years, with a total value of $2,963.
Total Amount is formed as General ($2,963) + Research ($0) + Ownership ($0) = $2,963.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($2,432).
Total Amount
$2,963
General + Research + Ownership
Payments
29
Total payment records
General Amount
$2,963
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI-AVENTIS U.S. LLC | $2,432 |
| Supernus Pharmaceuticals, Inc. | $65 |
| Corium, LLC | $64 |
| IRONSHORE PHARMACEUTICALS INC. | $60 |
| Ironshore Pharmaceuticals Inc. | $42 |
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: 2019-12-18
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 |
|---|---|---|---|---|
| I20191218002513 | I | Pediatric Medicine | 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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Reviews
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