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MRS. SANDRA LYNNE JACKSON LPC
NPI 1881350551
Counselor - Professional in Newnan, GA

Active since November 16, 2021PECOS EnrolledAccepts Medicare Assignment
121 JACKSON ST, NEWNAN, GA 30263(770) 251-5873(770) 304-2201 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sandra Lynne Jackson Lpc NPPES

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

MRS. SANDRA LYNNE JACKSON LPC (NPI 1881350551) is an individual professional provider in Newnan, Georgia, licensed in Georgia (LPC012399) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canon City, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881350551
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SANDRA LYNNE JACKSONCredential: LPC
Location Address121 JACKSON STNewnan, GA 30263-1572
Mailing Address121 Jackson StNewnan, GA 30263-1572 · (770) 251-5873 · Fax (770) 304-2201
Phone(770) 251-5873
Fax(770) 304-2201
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 4, 2021
✔ NPI 1881350551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in GA · LPC012399✔ Licensed in CO · LPC0012685
121 JACKSON ST, Newnan, GA 30263
Open in Google Maps ↗

Secondary Practice Location 1

Location 144058 W US Highway 50Canon City, CO 81212-9743 · Phone (720) 635-0916

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Mrs. Sandra Lynne Jackson Lpc 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.

PECOS PAC ID42652034
PECOS Enrollment IDI20240522001519
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.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Counseling PC
Same address
Professional
121 JACKSON STREET
Newnan, GA 30263
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1205961232 (770) 251-5873

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

JOSEPH ADAMS M.S., LPC
Counselor (Professional)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
DR. THOMAS SMITH FREEMAN PSY.D.
Psychologist (Clinical)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
MRS. CONNIE GIBSON LPC
Counselor (Professional)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
D'NETRA NICHOLE SMITH LPC
Counselor (Professional)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
REBEKAH DINGLER LPC
Counselor (Professional)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
JANET GAFFNEY PSY. D.
Psychologist (Cognitive & Behavioral)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
KIMBERLY B ALFORD CCC-SLP
Speech-Language Pathologist
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873
SARAH B LYLE PHD
Psychologist (Clinical)
121 JACKSON ST
NEWNAN, GA 30263
Coweta County (770) 251-5873

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 Sandra Jackson's NPI number?

The NPI number for Sandra Jackson is 1881350551. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Sandra Jackson located?

Sandra Jackson practices at 121 Jackson St, Newnan, GA 30263. The listed phone number is (770) 251-5873.

What is Sandra Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sandra Jackson enrolled in Medicare?

Yes. Sandra Jackson 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 organization bills Medicare for Sandra Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Jackson reassigns Medicare benefits to Lighthouse Counseling PC (Newnan, GA). The 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 Sandra Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Jackson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Sandra Jackson 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 Sandra Jackson was last updated on November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.