Mr David Ray Jackson, NP - Medicare Nurse Practitioner in Quitman, GA

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Mr David Ray Jackson, NP is a medicare enrolled "Nurse Practitioner - Family" in Quitman, Georgia. His current practice location is 606 W Screven St, Quitman, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 263-8888.

Mr David Ray Jackson is licensed to practice in Georgia (license number RN154383) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215079983.

Contact Information

Mr David Ray Jackson, NP
606 W Screven St,
Quitman, GA 31643-1922
(229) 263-8888
(229) 263-8888

Map and Direction




Provider's Profile

Full NameMr David Ray Jackson
GenderMale
SpecialityNurse Practitioner - Family
Location606 W Screven St, Quitman, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215079983
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 03/30/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8325937956
  • Enrollment ID: I20040312000173

Medical Identifiers

Medical identifiers for Mr David Ray Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215079983NPI-NPPES
52875375OtherGABCBS
000921137CMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN154383 (Georgia)Primary

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. Mr David Ray Jackson allows following entities to bill medicare on his behalf.
Entity NameCare Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063521250
PECOS PAC ID: 6406807015
Enrollment ID: O20050201000493
Entity NameSouth Georgia Emergency Medicine Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386903649
PECOS PAC ID: 4880850775
Enrollment ID: O20120720000457
Entity NameBethany Hospice And Palliative Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972709160
PECOS PAC ID: 1052409414
Enrollment ID: O20170428001358
Entity NameSgmc Physician Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417597170
PECOS PAC ID: 4082036843
Enrollment ID: O20201015000629
Entity NameNorth Oak Family Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417668021
PECOS PAC ID: 3274902283
Enrollment ID: O20221214002408

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. Mr David Ray Jackson 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
Mr David Ray Jackson, NP
Po Box 845,
Quitman, GA 31643-0845

Ph: (229) 263-8888		Mr David Ray Jackson, NP
606 W Screven St,
Quitman, GA 31643-1922

Ph: (229) 263-8888

Reviews and Comments


Nurse Practitioner Nurses in Quitman, GA

Ramsey B Hughes, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 907 N Court St, Quitman, GA 31643
Phone: 229-263-4531    Fax: 229-263-5787
Mesheal L Leverett, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 315 E Screven St, Quitman, GA 31643
Phone: 229-305-1000    
Zaporia Smith, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1901 W Screven St, Quitman, GA 31643
Phone: 229-263-6100    
Debra M Seleska, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 907 North Court Street, Quitman, GA 31643
Phone: 229-263-4531    Fax: 229-263-5787
Jennifer Denise Robinson, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 905 N Court St, Quitman, GA 31643
Phone: 229-263-8956    
Mrs. Tashamba Lashira Davis-denson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1901 W Screven St, Quitman, GA 31643
Phone: 731-394-1145    

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.