P Praxis·MD
● Active Type 1 · Individual

Lesia Tyson Jackson, M.D.

Radiology·Savannah, GA· NPI 1245292291 · Enumerated 2006 · 20 years on NPI
Jackson is 1 of 68 radiology providers in Savannah and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2006-04-05
Primary specialty
Radiology
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-05-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
4700 Waters Ave
Savannah, GA 314046220
📞 9123558188fax 9123566970
Mailing address
Po Box 15759
Savannah, GA 314162459
📞 9123558188fax 9123566970

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    NC license #9600354 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (GA) P00391009 RAILROAD MEDICARE
01 (GA) 52223821001 BCBS
05 (SC) N00354
05 (GA) 078632737A
05 (NC) 8984140

Practice context

Part of a multi-provider practice. 538 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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