Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack R. Pines III, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1568859510

Dr. Jack R. Pines III, MD is a Physical Medicine and Rehabilitation in McDonough, Georgia. Graduated from Medical College of Georgia School of Medicine in 2015, 11 years ago. Practices with Resurgens, LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Georgia and Louisiana.

Years since qualifying
11
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA, LA
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

105 Regency Park Dr
McDonough, GA 30253-6649
Phone: (770) 506-4119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 85822 (GA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PGY.203100 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568859510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2015
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Resurgens, Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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