JACKSON FORENSIC PSYCHIATRY LLC NPI 1093656829

NPI Information

  • NPI: 1093656829
  • Provider Name: JACKSON FORENSIC PSYCHIATRY LLC
  • Classification: Psychiatry & Neurology - 2084F0202X
  • Specialization: Forensic Psychiatry
  • Entity Type: Organization
  • Address: 2100 CENTRAL AVE STE D1
    AUGUSTA, GA
    ZIP 30904
  • Phone: (912) 216-2278

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NPI Details

JACKSON FORENSIC PSYCHIATRY LLC is a forensic psychiatry psychiatry neurology in Augusta, GA. The provider is forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. JACKSON FORENSIC PSYCHIATRY LLC NPI is 1093656829. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 CENTRAL AVE STE D1
AUGUSTA, GA
ZIP 30904-709
Phone: (912) 216-2278

The provider's authorized official is Anna Jackson .
The authorized official title is Psychiatrist/ Owner and has the following contact phone number (912) 216-2278.

The enumeration date for this NPI number is 4/4/2026 and was last updated on 4/4/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084F0202XPsychiatry & NeurologyForensic PsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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