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: August 09, 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
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

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

Other Providers at the Same Location NPPES 7

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

Pharmacist
440 CHARTER BLVD, SUITE 1107
MACON, GA 31210
Dermatology
440 CHARTER BLVD, SUITE 2201
MACON, GA 31210
Obstetrics & Gynecology
440 CHARTER BLVD, SUITE 2202
MACON, GA 31210
Surgery
440 CHARTER BLVD, SUITE 3302
MACON, GA 31210
Family Medicine
440 CHARTER BLVD, SUITE 3303
MACON, GA 31210
Podiatrist
440 CHARTER BLVD, STE 2202
MACON, GA 31210
Surgery
440 CHARTER BLVD, SUITE 3302
MACON, GA 31210

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.

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.