NPI age
4 years
Enumerated 2022-04-23
● Active
Type 1 · Individual
Shavonta Jackson, CNA
Jackson is 1 of 16 nurse's aide providers in Stone Mountain and 1 of 480 in Georgia.
Primary specialty
Nurse's Aide
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-04-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 480 active nurse's aide providers in Georgia.
NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Practice location
1607 Barrington Vw
Stone Mountain, GA 300871846
Mailing address
1607 Barrington Vw
Stone Mountain, GA 300871846
Specialties
-
Nurse's Aide Primary(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 9576376 | CIGNA HEALTHCARE |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse's aide provider has been added in Stone Mountain in the last 180 days.
See all →
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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.