Jackson Family Dentistry PC
NPI 1124157847ActiveOrganization· Dentist, General Practice· Waycross, GA
Dentist, General Practice in Waycross, Georgia, registered in NPPES in March 2007. The authorized official on file is Andrew Lee Jackson, DMD, Owner President.
Overview
| NPI | 1124157847 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Feb 12, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9939 | GA |
| Dentist, General Practice | 1223G0001X | 9840 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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