P Praxis·MD
● Active Type 1 · Individual

Evelyn Jackson, LCSW

Military Health Care Provider·Columbus, GA· NPI 1275625568 · Enumerated 2006 · 19 years on NPI
Jackson is 1 of 2 military health care provider providers in Columbus and 1 of 40 in Georgia.
NPI age
19 years
Enumerated 2006-09-28
Primary specialty
Military Health Care Provider
Licensed in
LA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 40 active military health care provider providers in Georgia.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
209 Miller Loop, Fort Benning
Columbus, GA 319056560
📞 7065451661
Mailing address
209 Miller Loop, Fort Benning
Columbus, GA 319056560
📞 7065451661

Specialties

  • Military Health Care Provider Primary
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    LA license #LCSW taxonomy 171000000X

Practice context

Solo or small practice. No 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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