NPI age
5 years
Enumerated 2020-11-21
● Active
Type 1 · Individual
Meyonca Jackson, PHARMD,
Jackson is 1 of 1 pharmacist providers in Stockbridge and 1 of 59 in Georgia.
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-11-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 59 active pharmacist providers in Georgia.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-11Enumerated in NPPES
2020
2026
Where they practice
Practice location
1045 Southcrest Dr
Stockbridge, GA 302816113
Mailing address
509 Wyncroft Way
McDonough, GA 302538020
Specialties
-
Pharmacist PrimaryA licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | NA | NA |
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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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.