NPI age
5 years
Enumerated 2021-03-15
● Active
Type 1 · Individual
Tawanna Jackson, CERTIFIED PEER RECOV
Jackson is 1 of 2 peer specialist providers in College Park and 1 of 122 in Georgia.
Primary specialty
Peer Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 122 active peer specialist providers in Georgia.
NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-03Enumerated in NPPES
2021
2026
Where they practice
Practice location
3370 Flat Shoals Rd
College Park, GA 303494008
Mailing address
3370 Flat Shoals Rd
College Park, GA 303494008
Specialties
-
Peer Specialist PrimaryIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000000000 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- 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.