Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1235834821 Deactivated / Inactive NPI Female Practitioner

Tamika Brenda Jackson , CSC

Case Manager/Care Coordinator • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tamika Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2023
NPI Deactivation Date December 26, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Tamika Jackson, CSC was a registered Case Manager/Care Coordinator practicing in Jacksonville, FL. Throughout an active medical career spanning 1 years, Tamika Jackson provided care at the practice location at 3890 DUNN AVE STE 1104 until profile deactivation on 2024-12-26.

Practice Location & Contact Primary Location

Practice Address

3890 Dunn Ave Ste 1104

Jacksonville, FL 322186432

Telephone 9047650664
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
230 Specialists

Practicing in Jacksonville, FL (5060 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Jessyca Hayward , LCSW

Social Worker - Clinical

NPI 1366915894

Licensed Clinical Social Worker

Aaron Bowen

Counselor - Mental Health

NPI 1952005050

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 26, 2024

Record deactivated on December 26, 2024

NPI Profile Active April 03, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2023

Registered at 3890 DUNN AVE STE 1104, JACKSONVILLE, FL 322186432 (Tel: 9047650664)

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Updated Business Mailing Address April 03, 2023

Registered at 3530 MECCA ST, JACKSONVILLE, FL 322093540 (Tel: 1904327935)

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Provider Name / Credentials Updated April 03, 2023

Recorded as TAMIKA JACKSON, CSC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2023

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration April 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235834821
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2023
Last Update: April 03, 2023
Deactivation Date: December 26, 2024

Mailing Address

3530 Mecca St

Jacksonville, FL 322093540

Phone: 1904327935

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.