P Praxis·MD
● Active Type 1 · Individual

DR. Stacey Lajune Jackson

Psychologist·Stockbridge, GA· NPI 1659562692 · Enumerated 2007 · 18 years on NPI
Jackson is 1 of 3 psychologist providers in Stockbridge and 1 of 237 in Georgia.
NPI age
18 years
Enumerated 2007-08-06
Primary specialty
Psychologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-08-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 237 active psychologist providers in Georgia.

NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
110 Eagles Walk, Ste. 100
Stockbridge, GA 302817204
📞 7705076044fax 7705075284
Mailing address
110 Eagles Walk, Ste. 100
Stockbridge, GA 302817204
📞 7705076044fax 7705075284

Specialties

  • Psychologist Primary
    A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and...
    GA license #PSY003073 taxonomy 103TC1900X

Practice context

Part of a multi-provider practice. 5 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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