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Active NPI 1023719812 Individual Practitioner Female Practitioner

Ashanti Jackson , LPN

Licensed Practical Nurse • Hampton, GA

Professional Overview & Biography Verified Profile Summary

Ashanti Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Hampton, GA. Practice services are available at 11200 TARA GLYNN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11200 Tara Glynn Dr

Hampton, GA 302282686

Telephone 3143867137

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Hampton, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Hampton, GA (1401 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

CMS Verified: 2023-03-17
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MO 2018040059

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active March 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2023

Registered at 11200 TARA GLYNN DR, HAMPTON, GA 302282686 (Tel: 3143867137)

📍
Updated Business Mailing Address March 17, 2023

Registered at 11200 TARA GLYNN DR, HAMPTON, GA 302282686 (Tel: 3147360679)

👤
Provider Name / Credentials Updated March 17, 2023

Recorded as ASHANTI JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2023

Licensed Practical Nurse (License #2018040059 in MO)

🟢
Initial NPI Registration & Enumeration March 17, 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: 1023719812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2023
Last Update: March 17, 2023
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

11200 Tara Glynn Dr

Hampton, GA 302282686

Phone: 3147360679

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.