IndividualActive
Tanisha Jackson
NPI 1407311509 · Case Manager/Care Coordinator · Lagrange, GA
Tanisha Jackson is a Case Manager/Care Coordinator provider in Lagrange, GA (NPI 1407311509).
Provider details
- NPI number
- 1407311509
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1271 Hogansville Rd Apt 115
Lagrange, GA 30241-6667
Phone: (334) 646-1574
Street-level locationGet directions
Mailing address
1271 Hogansville Rd Apt 115
Lagrange, GA 30241-6667
Additional practice locations (1)
- 6740 James B Rivers DrStone Mountain, GA 30083-2235Phone: (404) 713-5896
Registry dates
- Enumerated
- 2019-02-04
- Last updated
- 2019-02-04
Frequently asked questions
- What is Tanisha Jackson's NPI number?
- Tanisha Jackson's National Provider Identifier (NPI) is 1407311509, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tanisha Jackson's specialty?
- Tanisha Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Tanisha Jackson located?
- Tanisha Jackson's practice location on file with NPPES is 1271 Hogansville Rd Apt 115, Lagrange, GA 30241-6667.
- What is Tanisha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tanisha Jackson is (334) 646-1574.
- Is Tanisha Jackson's NPI active?
- Yes — Tanisha Jackson's NPI (1407311509) is active in the NPPES registry as of the last update on 2019-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.