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TAWANNA JACKSON CERTIFIED PEER RECOV
NPI 1235714874
Peer Specialist in College Park, GA

Active since March 15, 2021
3370 FLAT SHOALS RD, COLLEGE PARK, GA 30349(678) 558-9330 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tawanna Jackson Certified Peer Recov NPPES

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

TAWANNA JACKSON CERTIFIED PEER RECOV (NPI 1235714874) is an individual peer specialist in College Park, Georgia and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1235714874
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTAWANNA JACKSONCredential: CERTIFIED PEER RECOV
Location Address3370 FLAT SHOALS RDCollege Park, GA 30349-4008
Mailing Address3370 Flat Shoals RdCollege Park, GA 30349-4008 · (678) 558-9330
Phone(678) 558-9330
Sole ProprietorYes
Enumeration DateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1235714874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3370 FLAT SHOALS RD, College Park, GA 30349
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Other Identifiers 1

Medicaid000000000GA

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 Tawanna Jackson's NPI number?

The NPI number for Tawanna Jackson is 1235714874. It was assigned to this individual provider in the NPPES registry on March 15, 2021.

Where is Tawanna Jackson located?

Tawanna Jackson practices at 3370 Flat Shoals Rd, College Park, GA 30349. The listed phone number is (678) 558-9330.

What is Tawanna Jackson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tawanna Jackson was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.