JACK H. POWELL III MD
NPI 1639266620
Orthopaedic Surgery in Newnan, GA
NPI Status: Active since October 10, 2006
Contact Information
1755 HIGHWAY 34 E
SUITE 2200
NEWNAN, GA
ZIP 30265
Phone: (770) 502-2175
Fax: (770) 502-2131
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About JACK POWELL
This page provides the complete NPI Profile along with additional information for Jack Powell, a provider established in Newnan, Georgia with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1639266620 assigned on October 2006. The practitioner's primary taxonomy code is 207X00000X with license number 019750 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1639266620
- Provider Name
- JACK H. POWELL III MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265
- Location Phone
- (770) 502-2175
- Location Fax
- (770) 502-2131
- Mailing Address
- 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265
- Mailing Phone
- (770) 502-2175
- Mailing Fax
- (770) 502-2131
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-10-2006
- Last Update Date
- 05-23-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 019750
- License State
- GA
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| D42088 | MEDICARE UPIN (02) | GA |
Medicare Participation & PECOS Enrollment Status
Jack Powell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30265 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.89
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $16.72
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Care Plan | 16% | 348 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Colorectal Cancer Screening | 60% | 217 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 65% | 348 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 69% | 375 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 1% | 313 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Screening for Osteoporosis for Women Aged 65-85 Years of Age | 64% | 167 |
| Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis | ||
Reviews for JACK H. POWELL III MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 6 | 6 | 6 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 6 | 12 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 6 + 1 + 2 + 6 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639266620 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336222520 | SUMMIT HEALTHPLEX PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 1755 HIGHWAY 34 E STE 1400 NEWNAN, GA 30265 (770) 252-7500 |
| 1194804427 | BARRY MORGAN MD Individual | Emergency Medicine | 1755 HIGHWAY 34 E SUITE 2400 NEWNAN, GA 30265 (770) 502-2121 |
| 1891860169 | BRACY B GRAHAM II CRNA Individual | Nurse Anesthetist, Certified Registered | 1755 HIGHWAY 34 E SUITE 1100 NEWNAN, GA 30265 (770) 252-7510 |
| 1184758336 | MARY S S DICKERSON OT Individual | Occupational Therapist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1437283884 | IRYS M BURN PT Individual | Physical Therapist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1497889646 | CARLTON T OSWALT PT Individual | Physical Therapist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1598881690 | SARAH W DIXON OT Individual | Occupational Therapist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1124144233 | MARLISA B STECHMANN SLP Individual | Speech-Language Pathologist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1649396938 | DONNA K LEONARD SLP Individual | Speech-Language Pathologist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1588780431 | CHRISTINE B GARDNER PT Individual | Physical Therapist | 1755 HIGHWAY 34 E SUITE 1300 NEWNAN, GA 30265 (770) 254-7850 |
| 1992992556 | ELIZABETH BOLTON FLEMING PA-C Individual | Physician Assistant | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1962669101 | GEORGIA CHIROPRACTIC ASSOCIATES Organization | Chiropractor (Sports Physician) | 1755 HIGHWAY 34 E SUITE 3300 NEWNAN, GA 30265 (770) 254-7833 |
| 1346579935 | MERIWETHER HEALTHCARE, L.L.C. Organization | Surgery | 1755 HIGHWAY 34 E SUITE 2400 NEWNAN, GA 30265 (770) 502-2150 |
| 1083649073 | JAYSON ALAN MCMATH M.D. Individual | Orthopaedic Surgery | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1962599936 | GEORGE M BALLANTYNE MD Individual | Orthopaedic Surgery | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1285721274 | MICHAEL V. CUSHING MD Individual | Orthopaedic Surgery | 1755 HIGHWAY 34 E SUITE 220 NEWNAN, GA 30265 (770) 502-2175 |
| 1902993991 | MICHAEL P. GRUBER MD Individual | Orthopaedic Surgery | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1720175714 | CHAD M. KESSLER MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1023326329 | JARED R SHAFER PA-C Individual | Physician Assistant | 1755 HIGHWAY 34 E SUITE 2200 NEWNAN, GA 30265 (770) 502-2175 |
| 1487955373 | MR. JAMES RUSSELL SMITH PA-C Individual | Physician Assistant | 1755 HIGHWAY 34 E STE 2200, GEORGIA BONE AND JOINT NEWNAN, GA 30265 (770) 502-2158 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639266620, enumerated in the NPI registry as an "individual" on October 10, 2006
The provider is located at 1755 Highway 34 E Suite 2200 Newnan, Ga 30265 and the phone number is (770) 502-2175
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $66.89 and an average copayment of 16.72. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.