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BILLIE L. JACKSON, M.D., LLC
NPI 1114296464
Dermatology in Macon, GA

Active since December 15, 2011
440 CHARTER BLVD, SUITE 2201, MACON, GA 31210(478) 477-5575(478) 477-0707 Get Directions Write a Review

NPPES record last updated: December 15, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Billie L. Jackson, M.d., Llc NPPES

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

BILLIE L. JACKSON, M.D., LLC (NPI 1114296464) is a healthcare organization registered as a dermatology in Macon, Georgia and active in the NPI registry since December 2011. The organization lists Billie L Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1114296464
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBILLIE L. JACKSON, M.D., LLC
Location Address440 CHARTER BLVD, SUITE 2201Macon, GA 31210-0724
Mailing Address440 Charter Blvd, Suite 2201Macon, GA 31210-0724 · (478) 477-5575 · Fax (478) 477-0707
Phone(478) 477-5575
Fax(478) 477-0707
Organization SubpartNo
Authorized OfficialBillie L JacksonOwner · (478) 477-5575
Enumeration DateDecember 15, 2011
✔ NPI 1114296464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 030791
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
440 CHARTER BLVD, Macon, GA 31210
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Other Identifiers 3

Medicare PIN07BDBFTGA
Medicare UPIND40232GA
Medicaid000373513EGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Billie L. Jackson, M.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Billie L. Jackson, M.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Billie Jackson, M.D.
Dermatology
NPI 1235232430
440 CHARTER BLVD SUITE 2201
Macon, GA 31210
(478) 477-5575
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Billie L. Jackson, M.D., LLC's NPI number?

The NPI number for Billie L. Jackson, M.D., LLC is 1114296464. It was assigned to this organization in the NPPES registry on December 15, 2011.

Where is Billie L. Jackson, M.D., LLC located?

Billie L. Jackson, M.D., LLC is located at 440 Charter Blvd Suite 2201, Macon, GA 31210. The listed phone number is (478) 477-5575.

What is Billie L. Jackson, M.D., LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Billie L. Jackson, M.D., LLC enrolled in Medicare?

Yes. Billie L. Jackson, M.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Billie L. Jackson, M.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Billie L. Jackson, M.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Billie L. Jackson, M.D., LLC was last updated on December 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.