Organization Active NPI

Jackson Mobility Solutions, LLC

  • Non-emergency Medical Transport (VAN)
  • Augusta, GA
National Provider Identifier
1023974730
Registry record updated Dec 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
JACKSON MOBILITY SOLUTIONS, LLC
Practice address
4118 Elders Dr
Augusta, GA 30909-9133
Phone
(706) 360-9865
Fax
(706) 360-9865
NPI assigned
Dec 27, 2025
Last updated
Dec 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Myrick Laroman Jackson
Title
Owner
Phone
(706) 360-9865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

4118 Elders Dr
Augusta, GA 30909-9133

Mailing address

4118 Elders Dr
Augusta, GA 30909-9133
Phone (706) 360-9865

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766793600000",
    "number": "1023974730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 ELDERS DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099133",
            "telephone_number": "706-360-9865",
            "fax_number": "706-360-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4118 ELDERS DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099133",
            "telephone_number": "706-360-9865",
            "fax_number": "706-360-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON MOBILITY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MYRICK",
        "authorized_official_middle_name": "LAROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-360-9865"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.