Mrs Kalita Higginbotham Jackson, FNP-C - Medicare Nurse Practitioner in Lawrenceville, GA

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Mrs Kalita Higginbotham Jackson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. Her current practice location is 500 Medical Center Blvd Ste 310, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 629-7139.

Mrs Kalita Higginbotham Jackson is licensed to practice in Georgia (license number RN191958) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1679847057.

Contact Information

Mrs Kalita Higginbotham Jackson, FNP-C
500 Medical Center Blvd Ste 310,
Lawrenceville, GA 30046-3332
(678) 629-7139
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kalita Higginbotham Jackson
GenderFemale
SpecialityNurse Practitioner - Family
Location500 Medical Center Blvd Ste 310, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679847057
  • Provider Enumeration Date: 03/01/2012
  • Last Update Date: 02/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8527229442
  • Enrollment ID: I20120419000403

Medical Identifiers

Medical identifiers for Mrs Kalita Higginbotham Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679847057NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN191958 (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. Mrs Kalita Higginbotham Jackson allows following entities to bill medicare on her behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameGwinnett Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952340994
PECOS PAC ID: 8123916426
Enrollment ID: O20040309000009
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NameGwinnett Hospital System Gme, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076927
PECOS PAC ID: 0648504894
Enrollment ID: O20190622000303

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. Mrs Kalita Higginbotham 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
Mrs Kalita Higginbotham Jackson, FNP-C
500 Medical Center Blvd Ste 310,
Lawrenceville, GA 30046-3332

Ph: (678) 629-7139		Mrs Kalita Higginbotham Jackson, FNP-C
500 Medical Center Blvd Ste 310,
Lawrenceville, GA 30046-3332

Ph: (678) 629-7139

Reviews and Comments


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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).

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