ANNA LOYAL JACKSON M.D. - NPI 1952798787 - Psychiatry & Neurology in Augusta, GA

Q: What is Anna Jackson's NPI number?

The NPI number for Anna Jackson is 1952798787. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Anna Jackson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Q: When was this NPI record last updated?

The NPPES record for Anna Jackson was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

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About Anna Loyal Jackson M.d. NPPES

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

ANNA LOYAL JACKSON M.D. (NPI 1952798787) is an individual forensic psychiatry provider in Augusta, Georgia, licensed in Georgia (82106) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1952798787

Entity TypeIndividualFemale

Primary Taxonomy2084F0202X

Provider Legal NameANNA LOYAL JACKSONCredential: M.D.

Location Address2100 CENTRAL AVE STE D1Augusta, GA 30904-6709

Mailing Address2801 Washington Rd Ste 107 #275Augusta, GA 30909 · (912) 216-2278

Phone(912) 216-2278

Sole ProprietorNo

Enumeration DateApril 20, 2015

Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1952798787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084F0202X

License✔ Licensed in GA · 82106

Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.

2100 CENTRAL AVE STE D1, Augusta, GA 30904

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Secondary Practice Locations 5

Location 11601 23rd Ave S, Suite 3105 VPHNashville, TN 37212-3133 · Phone (615) 327-7119

Location 212 Executive Park Dr NE Ste 200Atlanta, GA 30329-2206

Location 3800 E 70th StSavannah, GA 31405-4813 · Phone (866) 557-9955

Location 45 Mall AnxSavannah, GA 31406-4738 · Phone (912) 495-8887 · Fax (803) 281-8882

Location 5601 E 66th StSavannah, GA 31405-4519 · Phone (912) 525-2717

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Loyal Jackson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

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

SHERELL ELLIS LPC; BCBA

Counselor (Professional)