Individual provider Active NPI

Lindsey D Bookhardt, P.A.

  • Physician Assistant
  • Jesup, GA
National Provider Identifier
1942279294
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004294 Issued in GA
Practice address
1007 S Macon St
Jesup, GA 31545-0242
Phone
(912) 588-1020
Fax
(912) 588-1002
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004294 GA Primary

Addresses

Primary practice location

1007 S Macon St
Jesup, GA 31545-0242

Mailing address

PO Box 664
Jesup, GA 31598-0664
Phone (912) 588-1020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060630000036 GA Practitioner - Physician Assistant 7416969811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Dermatology and Skin Cancer Center, LLCGroup PAC ID 7113980855, 53 clinicians

Practice addresses (Care Compare)

1157 Forsyth St
Macon, GA 31201-7452
Phone (478) 745-8581

980 S 1St St
Jesup, GA 31545-0332
Phone (912) 427-4267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jesup Emergency Services, LLC Past Accepting new patients
Cooperative Healthcare Services Inc PastSince Mar 1, 2026 Accepting new patients
Summit Dermatology & Laser Center, P.C. Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942279294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980664",
            "telephone_number": "912-588-1020",
            "fax_number": "912-588-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S MACON ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450242",
            "telephone_number": "912-588-1020",
            "fax_number": "912-588-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKHARDT",
        "first_name": "LINDSEY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "004294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.