NPI age
1 years
Enumerated 2024-10-31
● Active
Type 1 · Individual
MRS. Tanesha Jackson
Jackson is 1 of 2 clinic/center providers in Hiram and 1 of 205 in Georgia.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 205 active clinic/center providers in Georgia.
NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2024 → 2026
2024-10Enumerated in NPPES
2024
2026
Where they practice
Practice location
319 Lanier Ct
Hiram, GA 301412072
Mailing address
319 Lanier Ct
Hiram, GA 301412072
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 205 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.