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JASMINE LAKE
NPI 1043159130
Obstetrics & Gynecology in Macon, GA

Active since March 25, 2026PECOS Enrolled
777 HEMLOCK ST, MACON, GA 31201(478) 633-1000 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmine Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASMINE LAKE (NPI 1043159130) is an individual obstetrics & gynecology provider in Macon, Georgia, licensed in Georgia (112784) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043159130
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameJASMINE LAKE
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-7500
Phone(478) 633-1000
Sole ProprietorNo
Enumeration DateMarch 25, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1043159130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in GA · 112784
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
777 HEMLOCK ST, Macon, GA 31201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jasmine Lake is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN WAGNER D.O.
Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Bibb County (478) 633-7600
AMELIA CATHERINE LLERENA
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6701
JO BETH ROBERTS NP
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6706
RONALD KNIGHTS PHRAM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1434
MRS. DENA D MCKENNA PAAA
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Bibb County (478) 633-1000
LOWELL CLARK MD
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Bibb County (478) 633-7140
RICHARD A SCHERER CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244
DEMETRA D MCGLOTHIN CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jasmine Lake's NPI number?

The NPI number for Jasmine Lake is 1043159130. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Jasmine Lake located?

Jasmine Lake practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-1000.

What is Jasmine Lake's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jasmine Lake enrolled in Medicare?

Yes. Jasmine Lake is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasmine Lake was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.