Jesse Lockhart Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3983 Issued in GA

Practice address

5669 Whitesville Rd
Columbus, GA 31904

Phone

(706) 571-7246

Fax

(706) 571-7264

NPI assigned

Dec 28, 2007

Last updated

May 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Georgia Pain and Wellness CenterGroup PAC ID 8527200864, 53 clinicians

Southeast Regional Pain Ctr PCGroup PAC ID 0446244453, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

98.82

Improvement activities

40

Cost

89.2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Pain and Wellness Center

  dba Summit Spine and Joint Centers

  • Interventional Pain Medicine Physician
  • Lawrenceville, GA
  • NPI 1356781181
  Medicare reassignment Care Compare group NPD
• Southeast Regional Pain Ctr PC

  • Interventional Pain Medicine Physician
  • Columbus, GA
  • NPI 1194833970
  Medicare reassignment Care Compare group
• Providence Family Medicine Clinic, Inc

  • Family Medicine Physician
  • Lumpkin, GA
  • NPI 1346590148
  Medicare reassignment
• Total Diagnostic and Interventional Pain PC

  dba TDI Pain

  • Interventional Pain Medicine Physician
  • Lagrange, GA
  • NPI 1609143502
  Medicare reassignment
• Georgia Pain and Wellness Center

  dba Summit Spine & Joint Centers

  • Interventional Pain Medicine Physician
  • Newnan, GA
  • NPI 1427820190
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1316121106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 WHITESVILLE RD",
            "address_2": "SOUTHEAST REGIONAL PAIN CENTER",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-571-7246",
            "fax_number": "706-571-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 WHITESVILLE RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-571-7246",
            "fax_number": "706-571-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Better Co
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• Julio Cesar Llanos Jr., ATC
• Lma Community Based Consultants, LLC (LMA Consultants)
• Kelsay Lockhart
• Laretha Urett Lockhart
• Latoya Lockhart
• Moti Lockhart
• Oneika Cherelle Lockley, PP, B.S

• Physician Assistant in Columbus, GA
• Providers in Columbus, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.