NPI age
10 years
Enumerated 2015-11-27
● Active
Type 1 · Individual
Laverne Jackson
Jackson is 1 of 1 clinic/center providers in Quitman and 1 of 655 in Georgia.
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-11-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 655 active clinic/center providers in Georgia.
NPI age
10 years
≈ at median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-11Enumerated in NPPES
2015
2026
Where they practice
Practice location
903 N Court St
Quitman, GA 316431315
Mailing address
903 N Court St
Quitman, GA 316431315
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN130090 | PROFESSIONAL REGISTERED NURSE |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 655 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.