P Praxis·MD
● Active Type 1 · Individual

Shanequa Jackson

Home Health Aide·Augusta, GA· NPI 1740807494 · Enumerated 2020 · 5 years on NPI
Jackson is 1 of 12 home health aide providers in Augusta and 1 of 582 in Georgia.
NPI age
5 years
Enumerated 2020-06-29
Primary specialty
Home Health Aide
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 582 active home health aide providers in Georgia.

NPI age
5 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
1204 Hemlock Dr
Augusta, GA 309092754
📞 7062280321
Mailing address
1204 Hemlock Dr
Augusta, GA 309092754

Specialties

  • Home Health Aide Primary
    A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
    taxonomy 374U00000X

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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