Lashunda Jackson
Physician • Warner Robins, GA
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, Lashunda Jackson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Lashunda Jackson was a registered Physician practicing in Warner Robins, GA. Throughout an active medical career spanning 1 years, Lashunda Jackson provided care at the practice location at 940 GA HIGHWAY 96 until profile deactivation on 2017-12-05.
Practice Location & Contact Primary Location
940 Ga Highway 96
Warner Robins, GA 310882584
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician in Warner Robins, GA
Practicing in Warner Robins, GA (8739 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Addiction (Substance Use Disorder)
Counselor - Professional
Licensed Professional Counselor
Counselor - Mental Health
MSPP
Licensed Practical Nurse
Licensed Practical Nurse
Registered Nurse - Psychiatric/Mental Health
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 05, 2017
NPI status registered as active in NPPES database
Registered at 940 GA HIGHWAY 96, WARNER ROBINS, GA 310882584 (Tel: 4789881222)
Registered at 624 FOREST HILL RD, MACON, GA 312104600 (Tel: 4783354055)
Recorded as LASHUNDA JACKSON
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
624 Forest Hill Rd
Macon, GA 312104600
Phone: 4783354055
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