1. Home
  2. Directory
  3. Georgia
  4. Newnan
  5. Dentist
  6. NPI Profile

DR. JACKIE FECKOURY DDS
NPI 1366954844
Dentist - General Practice in Newnan, GA

Active since October 24, 2017PECOS Enrolled
203 MILLARD FARMER IND BLVD, NEWNAN, GA 30263(770) 746-3342 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2023, Oct 24, 2017 (2 updates tracked since 2017).

About Dr. Jackie Feckoury Dds NPPES

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

DR. JACKIE FECKOURY DDS (NPI 1366954844) is an individual general practice provider in Newnan, Georgia, licensed in Georgia (DN009923) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Luthersville.

NPPES Registry Identity

NPI1366954844
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACKIE FECKOURYCredential: DDS
Location Address203 MILLARD FARMER IND BLVDNewnan, GA 30263-1012
Mailing Address156 Loretta LnLuthersville, GA 30251-2110 · (770) 998-1481 · Fax (678) 929-3191
Phone(770) 746-3342
Sole ProprietorYes
Enumeration DateOctober 24, 2017
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
✔ NPI 1366954844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN009923
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
203 MILLARD FARMER IND BLVD, Newnan, GA 30263
Open in Google Maps ↗

Secondary Practice Location 1

Location 1156 Loretta LnLuthersville, GA 30251-2110 · Phone (770) 998-1481 · Fax (678) 929-3191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jackie Feckoury Dds 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 30263 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 3

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

COWETA DENTISTRY SDA PC
Dentist (General Practice)
203 MILLARD FARMER IND BLVD
NEWNAN, GA 30263
Coweta County (770) 253-3595
ASHLEY REBECCA MATHEWS
Dentist
203 MILLARD FARMER IND BLVD
NEWNAN, GA 30263
Coweta County (770) 746-3342
RIDDHI PATEL
Dentist (General Practice)
203 MILLARD FARMER IND BLVD
NEWNAN, GA 30263
Coweta County (770) 746-3342

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 Jackie Feckoury's NPI number?

The NPI number for Jackie Feckoury is 1366954844. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Jackie Feckoury located?

Jackie Feckoury practices at 203 Millard Farmer Ind Blvd, Newnan, GA 30263. The listed phone number is (770) 746-3342.

What is Jackie Feckoury's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jackie Feckoury enrolled in Medicare?

Yes. Jackie Feckoury is registered in the Medicare PECOS enrollment system.

What insurance does Jackie Feckoury accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental and 1 other insurer list Jackie Feckoury as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackie Feckoury was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.