1. Home
  2. Directory
  3. Georgia
  4. Quitman
  5. Clinic Center
  6. NPI Profile

LAVERNE JACKSON
NPI 1134593353
Clinic/Center - Primary Care in Quitman, GA

Active since November 27, 2015
903 N COURT ST, QUITMAN, GA 31643(229) 263-7147(229) 263-6318 Get Directions Write a Review

NPPES record last updated: November 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laverne Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAVERNE JACKSON (NPI 1134593353) is an individual primary care provider in Quitman, Georgia, licensed in Georgia (RN130090) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1134593353
Entity TypeIndividualFemale
Primary Taxonomy261QP2300X
Provider Legal NameLAVERNE JACKSON
Location Address903 N COURT STQuitman, GA 31643-1315
Mailing Address903 N Court StQuitman, GA 31643-1315 · (229) 263-7147 · Fax (229) 263-6318
Phone(229) 263-7147
Fax(229) 263-6318
Sole ProprietorYes
Enumeration DateNovember 27, 2015
✔ NPI 1134593353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in GA · RN130090
903 N COURT ST, Quitman, GA 31643
Open in Google Maps ↗

Other Identifiers 1

OtherRN130090GA · Professional Registered Nurse

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKS COUNTY HOSPITAL
Radiology (Diagnostic Radiology)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
JENNIFER JOINER MED.CCC-SLP
Speech-Language Pathologist
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-6327
MRS. KERRI DAWN KELLEY P.T.
Physical Therapist
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-6327
BROOKS COUNTY HOSPITAL
General Acute Care Hospital (Critical Access)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
CONDACE DORNELLA COOPER L.D.
Dietitian, Registered
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Clinical Medical Laboratory
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Radiology (Diagnostic Radiology)
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171
BROOKS COUNTY HOSPITAL
Medicare Defined Swing Bed Unit
903 N COURT ST
QUITMAN, GA 31643
Brooks County (229) 263-4171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laverne Jackson's NPI number?

The NPI number for Laverne Jackson is 1134593353. It was assigned to this individual provider in the NPPES registry on November 27, 2015.

Where is Laverne Jackson located?

Laverne Jackson practices at 903 N Court St, Quitman, GA 31643. The listed phone number is (229) 263-7147.

What is Laverne Jackson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Laverne Jackson was last updated on November 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.