DR. JEFFREY ADAM HACKNEY MD
NPI 1255035879
Emergency Medicine in Boardman, OH
About Dr. Jeffrey Adam Hackney Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY ADAM HACKNEY MD (NPI 1255035879) is an individual emergency medicine provider in Boardman, Ohio, licensed in Ohio (57.254832) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey Adam Hackney Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jeffrey Hackney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Canton, GA 30114
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
Augusta, GA 30901
- Reassigned Medicare billing, Georgia enrollment
- 159 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44512 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeffrey Hackney's NPI number?
The NPI number for Jeffrey Hackney is 1255035879. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Jeffrey Hackney located?
Jeffrey Hackney practices at 8401 Market St, Boardman, OH 44512. The listed phone number is (330) 729-7960.
What is Jeffrey Hackney's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeffrey Hackney enrolled in Medicare?
Yes. Jeffrey Hackney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jeffrey Hackney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hackney reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Canton, GA) and Peach State Emergency Physicians LLC (Augusta, GA). Each 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 Jeffrey Hackney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeffrey Hackney was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Jeffrey Adam Hackney, MD · NPI 1255035879
Emergency Medicine physician in Boardman, Ohio. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1255035879 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 57.254832 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 8401 MARKET ST, Boardman, OH 44512-6725
- **Phone:** (330) 729-7960
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Wellstar Medical Group, LLC (NPI 1386054278, Canton, GA); Peach State Emergency Physicians LLC (NPI 1053170605, Augusta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1255035879) · Data from the CMS NPPES public registry.