P Praxis·MD
● Active Type 1 · Individual

MS. Judy Marie Jackson

Custodial Care Facility·Rex, GA· NPI 1548671316 · Enumerated 2014 · 12 years on NPI
Jackson is 1 of 3 custodial care facility providers in Rex and 1 of 176 in Georgia.
NPI age
12 years
Enumerated 2014-05-15
Primary specialty
Custodial Care Facility
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 176 active custodial care facility providers in Georgia.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
5941 Wilerson Rd.
Rex, GA 302731506
📞 6782841355fax 6782841355
Mailing address
5941 Wilerson Rd., W
Rex, GA 302731506
📞 6782841355fax 6782841355

Specialties

  • Custodial Care Facility Primary
    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in...
    GA license #031-01-129-1 taxonomy 311ZA0620X

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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