Organization Active NPI

Jackson Forensic Psychiatry LLC

  • Forensic Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1093656829
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Psychiatry PhysicianTaxonomy code 2084F0202X
Legal business name
JACKSON FORENSIC PSYCHIATRY LLC
Practice address
2100 Central Ave Ste D1
Augusta, GA 30904-6709
Phone
(912) 216-2278
NPI assigned
Apr 4, 2026
Last updated
Apr 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Authorized official

Name
Anna Jackson, MDNPI 1952798787
Title
Psychiatrist/ Owner
Phone
(912) 216-2278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X Primary

Addresses

Primary practice location

2100 Central Ave Ste D1
Augusta, GA 30904-6709

Mailing address

2801 Washington Rd Ste 107 #275
Augusta, GA 30909
Phone (912) 216-2278

National Provider Directory

National Provider Directory

Locations

2100 Central Ave
Ste D1
Augusta, GA 30904
Phone (706) 843-6241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1775260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775260800000",
    "number": "1093656829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WASHINGTON RD STE 107 #275",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "912-216-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE STE D1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046709",
            "telephone_number": "912-216-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON FORENSIC PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-04",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PSYCHIATRIST/ OWNER",
        "authorized_official_telephone_number": "912-216-2278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": null,
            "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 Apr 4, 2026; 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.