LEONIA JACKSON
NPI 1427818624
Family Medicine in Macon, GA

Q: What is Leonia Jackson's NPI number?

The NPI number for Leonia Jackson is 1427818624. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Q: What is Leonia Jackson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Leonia Jackson was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since March 22, 2024PECOS Enrolled

777 HEMLOCK STREET LN # 165, MACON, GA 31201(478) 633-1634 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Leonia Jackson NPPES

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

LEONIA JACKSON (NPI 1427818624) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (16004) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427818624

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLEONIA JACKSON

Location Address777 HEMLOCK STREET LN # 165Macon, GA 31201-2168

Mailing Address777 Hemlock Street Ln # 165Macon, GA 31201-2168 · (478) 633-1634

Phone(478) 633-1634

Sole ProprietorYes

Enumeration DateMarch 22, 2024

Last NPPES UpdateJune 3, 2026

NPPES CertifiedJune 3, 2026

✔ NPI 1427818624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 16004

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 HEMLOCK STREET LN # 165, Macon, GA 31201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leonia Jackson 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 31201 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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 13

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

MATTHEW BENJAMIN MOORE MD

Pediatrics