Individual provider Active NPI

Lauren Jackson, MD

  • Family Medicine Physician
  • Augusta, GA
National Provider Identifier
1861874380
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME171752 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180711001262 GA Practitioner - Family Practice 0749540250 Reassigns benefits to 1 organization
I20250825001438 FL Practitioner - Family Practice 0749540250 Reassigns benefits to 1 organization

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 IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
SMH Physician Services IncGroup PAC ID 1355240177, 781 clinicians

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

LicenseStateTypeSpecialty
ME171752FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Family Medical Center PC Family Medicine CurrentSince Apr 25, 2018 Accepting new patients
SMH Physician Services Inc Family Medicine CurrentSince Oct 10, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/2561/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.