Active NPI
Lauren Jackson, MD
- Family Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME171752
- Practice address
- 3736 Mike Padgett Hwy Ste a
Augusta, GA 30906 - Phone
- (706) 560-2273
- Fax
- (706) 560-0903
- NPI assigned
- Jun 20, 2015
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME171752 | FL | Primary |
Addresses
Primary practice location
3736 Mike Padgett Hwy Ste a
Augusta, GA 30906
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Other practice location 1
2501 N Orange Ave
Suite 235
Orlando, FL 32804-4603
Phone (407) 303-7133
Other practice location 2
5350 University Pkwy Ste 101
Sarasota, FL 34243-5813
Phone (941) 917-4675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042
5350 University Pkwy
Suite 101
Sarasota, FL 34243-5800
Phone (941) 917-4675
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME171752 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Family Medical Center PC | Family Medicine | Current | Accepting new patients |
| SMH Physician Services Inc | Family Medicine | Current | Accepting new patients |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
5350 University Pkwy
Ste 101
Sarasota, FL 34243
Phone (941) 917-4675
3736 Mike Padgett Hwy
Ste A
Augusta, GA 30906
Phone (706) 560-2273
Interoperability endpoints
- https://api.platform.athenahealth.com/2561/brand/1/csg/1/fhir/r4
- lauren.jackson@fpg.directbygreenway.com
Organizations & group practices 3
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Family Medicine
-
- Family Medicine Physician
- Augusta, GA
- NPI 1083785349
-
dba First Physicians Group
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sarasota Memorial Hospital
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1861874380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3736 MIKE PADGETT HWY STE A",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30906",
"telephone_number": "706-560-2273",
"fax_number": "706-560-0903"
}
],
"practiceLocations": [
{
"address_1": "2501 N Orange Ave",
"address_2": "Suite 235",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328044603",
"country_code": "US",
"telephone_number": "407-303-7133",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5350 University Pkwy Ste 101",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342435813",
"country_code": "US",
"telephone_number": "941-917-4675",
"fax_number": "941-917-4688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-20",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME171752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.