Lawrence Richard Jackson Jr, MD - Medicare Family Practice in Waverly, TN

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Lawrence Richard Jackson Jr, MD is a medicare enrolled "Family Medicine" physician in Waverly, Tennessee. He graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lawrence Richard Jackson and his current practice location is 104 Hillwood Dr, Waverly, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 296-3555.

Lawrence Richard Jackson Jr is licensed to practice in Tennessee (license number MD0000020215) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1386794816.

Contact Information

Lawrence Richard Jackson Jr, MD
104 Hillwood Dr,
Waverly, TN 37185-2116
(931) 296-3555
(931) 296-9085

Map and Direction




Physician's Profile

Full NameLawrence Richard Jackson Jr
GenderMale
SpecialityFamily Practice
Experience38 Years
Location104 Hillwood Dr, Waverly, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence Richard Jackson Jr graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1386794816
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698764298
  • Enrollment ID: I20090702000018

Medical Identifiers

Medical identifiers for Lawrence Richard Jackson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386794816NPI-NPPES
223121700OtherTNDEPT OF LABOR
0151975OtherTNBCBS
3724150MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20215 (Tennessee)Secondary
207Q00000XFamily Medicine MD0000020215 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tennessee Quality Care - Home HealthParsons, TNHome health agency
Home Care SolutionsNashville, TNHome health agency
Amedisys Home HealthNashville, TNHome health agency
Three Rivers HospitalWaverly, TNHospital
Tristar Horizon Medical CenterDickson, TNHospital
Humphreys County Care And RehabilitationWaverly, TNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lawrence Richard Jackson15573501542

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lawrence Richard Jackson Jr allows following entities to bill medicare on his behalf.
Entity NameLawrence Richard Jackson
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104021203
PECOS PAC ID: 1557350154
Enrollment ID: O20040510000335
Entity NameHumphreys County Community Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235387044
PECOS PAC ID: 9931276359
Enrollment ID: O20090415000457
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20151006000818
Entity NameSouth Central Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427611854
PECOS PAC ID: 6507195492
Enrollment ID: O20190830001905

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lawrence Richard Jackson Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lawrence Richard Jackson Jr, MD
Po Box 270,
Waverly, TN 37185-0270

Ph: (931) 296-3555		Lawrence Richard Jackson Jr, MD
104 Hillwood Dr,
Waverly, TN 37185-2116

Ph: (931) 296-3555

Reviews and Comments


Family Medicine Doctors in Waverly, TN

Ashley Peters, FNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 502 W Main St, Waverly, TN 37185
Phone: 615-271-9945    
Mrs. Karen Michelle Dixon, FNP-C
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 102 Hillwood Dr, Waverly, TN 37185
Phone: 931-296-3555    Fax: 931-296-9085

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.