Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1124324199 Deactivated / Inactive NPI Female Practitioner

Mary Jackson

Social Worker • Columbus, GA

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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, Mary Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2011
NPI Deactivation Date October 02, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Mary Jackson was a registered Social Worker practicing in Columbus, GA. Throughout an active medical career spanning 14 years, Mary Jackson provided care at the practice location at 2100 COMER AVE until profile deactivation on 2025-10-02.

Practice Location & Contact Primary Location

Practice Address

2100 Comer Ave

Columbus, GA 319048725

Telephone 7063230174
Fax 7062563264
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
384 Specialists

Practicing in Columbus, GA (2201 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

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jacqueline Strother

Social Worker

NPI 1003155862
Dionne Lester

Community Health Worker

NPI 1003183518
Cassandra Copeland

Social Worker

NPI 1013218676
Jessica James

Community Health Worker

NPI 1023386646
Carrie Diggs

Social Worker

NPI 1023394830
Silas Holmes

Social Worker

NPI 1033466685

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 October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active February 08, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 08, 2011

Registered at 2100 COMER AVE, COLUMBUS, GA 319048725 (Tel: 7063230174)

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Updated Business Mailing Address February 08, 2011

Registered at 6400 HUNTER RD, COLUMBUS, GA 319074474 (Tel: 7065631749)

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Provider Name / Credentials Updated February 08, 2011

Recorded as MARY JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2011

Social Worker

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Initial NPI Registration & Enumeration February 08, 2011

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: 1124324199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2011
Last Update: February 08, 2011
Deactivation Date: October 02, 2025

Mailing Address

6400 Hunter Rd

Columbus, GA 319074474

Phone: 7065631749

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.