LOGAN JACKSON
NPI 1902730724
Student in an Organized Health Care Education/Training Program in Woodstock, GA

Active since June 09, 2026
3235 S CHEROKEE LN STE 1200, WOODSTOCK, GA 30188(678) 384-4911 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Logan Jackson NPPES

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

LOGAN JACKSON (NPI 1902730724) is an individual student in an organized health care education/training program in Woodstock, Georgia and active in the NPI registry since June 2026. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902730724
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLOGAN JACKSON
Location Address3235 S CHEROKEE LN STE 1200Woodstock, GA 30188-4461
Mailing Address3235 S Cherokee Ln Ste 1200Woodstock, GA 30188-4461
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1902730724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3235 S CHEROKEE LN STE 1200, Woodstock, GA 30188

Secondary Practice Locations 2

Location 14343 Shallowford Rd Ste 410Marietta, GA 30062-5067 · Phone (678) 536-7543
Location 23217 S Cherokee Ln Ste 730Woodstock, GA 30188-7053 · Phone (678) 384-4911

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 Logan Jackson's NPI number?

The NPI number for Logan Jackson is 1902730724. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Logan Jackson located?

Logan Jackson practices at 3235 S Cherokee Ln Ste 1200, Woodstock, GA 30188. The listed phone number is (678) 384-4911.

What is Logan Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Logan Jackson was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.