1. Home
  2. Directory
  3. Georgia
  4. Savannah
  5. Radiology
  6. NPI Profile

LESIA TYSON JACKSON M.D.
NPI 1245292291
Radiology - Diagnostic Radiology in Savannah, GA

Active since April 05, 2006PECOS Enrolled
4700 WATERS AVE, SAVANNAH, GA 31404(912) 355-8188(912) 356-6970 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lesia Tyson Jackson M.d. NPPES

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

LESIA TYSON JACKSON M.D. (NPI 1245292291) is an individual diagnostic radiology provider in Savannah, Georgia, licensed in North Carolina (9600354) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245292291
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLESIA TYSON JACKSONCredential: M.D.
Location Address4700 WATERS AVESavannah, GA 31404-6220
Mailing AddressPo Box 15759Savannah, GA 31416-2459 · (912) 355-8188 · Fax (912) 356-6970
Phone(912) 355-8188
Fax(912) 356-6970
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1245292291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NC · 9600354
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4700 WATERS AVE, Savannah, GA 31404
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Lesia Linda Tyson

Other Identifiers 8

Medicare ID-Type Unspecified2223559
Medicaid8984140NC
Medicare UPINF56032
MedicaidN00354SC
Other52223821001GA · Bcbs
OtherP00391009GA · Railroad Medicare
Medicare PIN30BDNNGGA
Medicaid078632737AGA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesia Tyson Jackson M.d. 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 31404 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

KRISTEN BEELER DO
Pediatrics (Physician Nutrition Specialist)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
ERIN NICOLLE JOHNSON MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
DR. RAMON VERNON MEGUIAR M.D.
Obstetrics & Gynecology
4700 WATERS AVE, SUITE CAM 500
SAVANNAH, GA 31404
Chatham County (912) 350-9456
BETHANY LANDIS STEARNS ATC
Specialist/Technologist (Athletic Trainer)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
JEAN TOFFEY DO
General Practice
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
DR. KINHTU LIEN MD
Student in an Organized Health Care Education/Training Program
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-7573
SAVANNAH MULTISPECIALTY ASSOCIATES, LLC
Surgery (Surgical Critical Care)
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-8000
BRADLEY POST
Emergency Medicine
4700 WATERS AVE
SAVANNAH, GA 31404
Chatham County (912) 350-3849

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 Lesia Jackson's NPI number?

The NPI number for Lesia Jackson is 1245292291. It was assigned to this individual provider in the NPPES registry on April 5, 2006. The provider is also known as Dr. Lesia Linda Tyson.

Where is Lesia Jackson located?

Lesia Jackson practices at 4700 Waters Ave, Savannah, GA 31404. The listed phone number is (912) 355-8188.

What is Lesia Jackson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lesia Jackson enrolled in Medicare?

Yes. Lesia Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lesia Jackson was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.