P Praxis·MD
● Active Type 1 · Individual

MS. Tanisha Jackson

Case Manager/Care Coordinator·Lagrange, GA· NPI 1407311509 · Enumerated 2019 · 7 years on NPI
Jackson is 1 of 7 case manager/care coordinator providers in Lagrange and 1 of 1100 in Georgia.
NPI age
7 years
Enumerated 2019-02-04
Primary specialty
Case Manager/Care Coordinator
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-02-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1100 active case manager/care coordinator providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
1271 Hogansville Rd Apt 115
Lagrange, GA 302416667
📞 3346461574
Mailing address
1271 Hogansville Rd Apt 115
Lagrange, GA 302416667
📞 3346461574

Additional practice locations

1 secondary location on file with NPPES.

Location 2
6740 James B Rivers Dr
Stone Mountain, GA 300832235
📞 4047135896

Specialties

  • Case Manager/Care Coordinator Primary
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    taxonomy 171M00000X

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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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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