P Praxis·MD
● Active Type 1 · Individual

Latoria Nicole Jackson

Non-emergency Medical Transport (VAN)·Loganville, GA· NPI 1922500289 · Enumerated 2018 · 8 years on NPI
Jackson is 1 of 14 non-emergency medical transport (van) providers in Loganville and 1 of 1275 in Georgia.
NPI age
8 years
Enumerated 2018-03-02
Primary specialty
Non-emergency Medical Transport (VAN)
Plus 11 subspecialties
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1275 active non-emergency medical transport (van) providers in Georgia.

NPI age
8 years
↑ 5 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
11
In the 13% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Practice location
4150 Alexis Ct
Loganville, GA 300529070
📞 6786710078fax 8889482083
Mailing address
4150 Alexis Ct
Loganville, GA 300529070
📞 6786710078fax 8889482083

Specialties

  • Non-emergency Medical Transport (VAN) Primary
    A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
    taxonomy 343900000X
  • Adult Companion
    An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not...
    taxonomy 372600000X
  • Assisted Living Facility
    A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility...
    taxonomy 3104A0625X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Case Manager/Care Coordinator
    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
  • Clinic/Center
    Definition to come...
    taxonomy 261QA0600X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
    taxonomy 261QD1600X
  • Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
    A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
    taxonomy 320900000X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Day Training, Developmentally Disabled Services
    These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills...
    taxonomy 251C00000X
  • Day Training/Habilitation Specialist
    Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
    taxonomy 373H00000X
  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    taxonomy 320600000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 1 new non-emergency medical transport (van) provider has been added in Loganville in the last 180 days. See all →
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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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